What is causing my swollen legs and painful joints?

Diabetes type­ 1 and chronic kidney disease make­ a challenging combo. Kidneys can get damage­d by diabetes over time­. Look out for fatigue, swelling, and urinary troubles - the­se signal kidney problems. Controlling blood sugar le­vels and blood pressure he­lps protect the kidneys. Eating right and regular doctor visits matte­r a lot.

The report suggests, however, that there seems to be a little issue with the right kidney and ureter. The right kidney is a little bit swollen (hydronephrosis) with fluid which is also a bit widened (hydroureter) in the upper ureter. This may be caused by something blocking the urine from the kidney to the bladder. The positive thing is, there are no stones that are causing the blockage. Further tests will help us in this matter, to know what's the cause of the problem. It's vital to do the follow-up tests, to find out exactly what's happening, and to get the proper treatment.

Your wife is likely to be getting symptoms such as fatigue, swelling, and trouble breathing if the creatinine level is 6.4. This could be from Chronic Kidney Disease (CKD), which is when the kidneys get damaged. To help manage this, she needs to follow a low-salt diet, take the prescribed medications, and possibly undergo dialysis. It's vital to ensure that her condition is stable by doing regular check-ups.

If someone is having problems with their heart or diabetes and is also having protein in their urine, this may mean there could be damage to the kidneys. The signs of this illness are the puffiness of the body, the appearance of bubble-like urine, and the presence of hypertension. This can be caused by increased sugar levels or high blood pressure in the blood. Eat healthy, control your blood sugar, and take medication as directed.

When you have ESRD, your kidneys do not work well. Although dialysis is working for you, high blood pressure may cause more difficulties. Be on the lookout for signs like being tired, swollen body parts and/or having trouble breathing. Do not stop taking your hypertension drugs; also follow a diet that is good for the kidneys plus keep being active. 

Your creatinine level is a bit above normal and your eGFR is a bit below normal. These are not a big deal and can occur due to age or some health problems in the past like angioplasty. It may not be visible in the beginning. Thus, living a healthy lifestyle such as eating well, drinking enough water, and making regular doctor visits can greatly assist your kidneys.