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One of the earliest signs of kidney issues is microalbuminuria, which is the presence of protein and albumin in your urine. Often diabetic patients with kidney damage show no overt symptoms, and no changes to their urinary patterns or frequency. Therefore, it is important to request specific tests such as this one from your doctor, as it is the easiest way to detect any damage to the kidneys in the early stages. Protein in your urine (as detected on the microalbuminuria test) is usually a red flag that your kidneys are not in optimal health, and that it is time to begin steps to prevent any further damage. This test is recommended to have once a year. If you have type 1 diabetes, testing should begin five years after diagnosis. If you have type 2 diabetes, testing should begin annually starting at the time of diagnosis. What starts as small amounts of protein in your urine (called "diabetic nephropathy" by medical doctors), if left untreated eventually progresses to chronic kidney disease and ultimately to kidney failure. This is why showing up for regular testing, and then following your doctor's advice for lifestyle modifications and medical treatment, is key to delaying or altogether preventing the development of long-term kidney disease and kidney failure. Your body will begin to retain fluid because when your kidneys start to fail, they become less able to remove excess water from your body. When this occurs, you will experience swelling around your ankles and feet because your body is holding on to fluid. One of the main signs of fluid retention is the skin around your eyes becoming puffy. When your kidneys stop working, they have a harder time processing toxins that they can normally deal with. This will cause these toxins to accumulate in your body, which will keep your body from functioning normally. One of the first things that will be affected by this toxin accumulation is your appetite. Your kidneys process all of the good and bad stuff that you put into your body. When they stop working properly, waste will build up in your body. This waste buildup can actually cause your skin to become irritated, which will result in your feeling itchy. When your kidneys stop processing waste, toxins can build up throughout your body. This means that toxins can also accumulate in your brain, making it harder for you to function properly. This can result in you having a hard time concentrating on anything for a long period of time. Muscle cramps, nausea, and vomiting can occur because of an imbalance of electrolytes in your body. Electrolytes are ions that are found in the body that help to maintain the normal functioning of the body. When you don't have enough electrolytes, your muscles can cramp up. At the same time, you may begin to feel nauseous, which may cause you to vomit. The most common electrolytes include sodium, potassium, phosphorus, and calcium. Ascites is the medical term for a swollen abdomen caused by an accumulation of fluid. When your body accumulates fluids because your kidneys are not working properly, your abdomen will more than likely swell up.

summary: Have your doctor test for microalbuminuria. Understand the progression of kidney disease. Look out for signs of fluid retention. Take note if you experience a lack of appetite. Be aware of itchiness as one of the later symptoms of kidney failure. Talk to a doctor if you find that you are having trouble concentrating. Watch out for muscle cramps, nausea and vomiting caused by an electrolyte imbalance. Check to see if your abdomen is swollen.

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Carefully rinse the strawberries in a colander to wash away any debris. Then, cut them to prepare them for the mascarpone cream. There are 2 ways you can cut them: Perpendicular cuts: Use a paring knife to trim off the stem end to create a flat surface, and then place the stem end facing down on a cutting board. Next, cut the berry in half starting from the top, slicing down towards the cutting board but not all the way through the berry. Then, make another perpendicular slice using the same technique. Fan out the berry so it resembles a blooming flower. Upright, core removed: Alternatively, slice off the tip of the non-stem end so the berry can stand upright. Then, slice off the leafy stem and remove the core, so the inside of the berry is somewhat hollowed-out. Stand the berries upright. Finally, add a garnish of your choice if you'd like. Small sprigs of mint can add a fresh taste, or toasted almonds can bring a crunchy contrast to the sweetness of the cream.

summary: Wash and cut 16 strawberries. Garnish with mint sprigs or toasted almonds.

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Go to the library and look up books about people you admire. You will find that they also struggled when they tried to live lives with meaning. Politicians, scientists, writers, and religious leaders have all doubted that their path was the correct one. Some of the most impressive people have felt spiritually empty. This is natural. One must doubt life's inherent meaning, in order to hope that life has significance. You probably know one or two people in your life who you think have found inner peace. You should engage them in conversation. Ask them for advice. Sure, they may not have the perfect answer to your problems, but they might have struggled with the same questions that disturb you. You could ask: "How did you find meaning in your day to day life?" When you were a child, you probably did not struggle with connecting with the universe. You were a different person then. You should meditate on that time in your life. You can also focus on more recent experiences of serenity. Try to understand how you managed to enter those spaces of tranquility. We are each made up of past selves.They still live within our memories. These previous versions of ourselves can teach us lessons if we let them.
summary: Read memoirs and biographies. Talk to spiritual people. Remember your experiences.