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Dr. Laura Malaga Dieguez, PhD, MD is a pediatric nephrologist in New York, NY specializing in pediatric nephrology (kidney disease). Dr. Laura Malaga Dieguez, PhD, MD is affiliated with Montefiore Einstein, NYU Langone Health and NYU Pediatric Nephrology.
NYU Langone Health
Acute Kidney Failure
Kidney failure is when 80% to 90% of kidney function is lost. Kidney failure is also referred to as end-stage renal disease (ESRD). Kidneys are critical to human health, essentially acting as the body's built-in filtration system. When the kidneys can no longer function effectively, waste can accumulate in the blood and concentrations of nutrients can become unbalanced, impairing the body from performing critical functions. For example, if the kidneys do not regulate levels of potassium, the heart may develop arrhythmias (irregular rhythm) or even go into cardiac arrest.
Kidney failure may be caused by a number of health conditions that slowly damage and weaken the kidneys, such as:
High blood pressure and diabetes are the most frequently observed causes of kidney failure. However, these conditions typically take years to develop into kidney failure and might escape notice during that time.
Symptoms of kidney failure include:
No cure currently exists for kidney failure; however, medical treatment can permit people to live healthy and long lives. A nephrologist (kidney doctor) determines the most effective treatments for patients with kidney failure.
Dialysis is a well-known treatment for kidney failure that uses a machine to filter and clean waste from the blood. Patients attend regular dialysis sessions to replace their lost kidney function. Some patients with kidney failure are unable to survive without having dialysis every few days.
More advanced kidney failure may be treated by kidney transplant surgery. Deceased donor kidney transplant surgery provides kidney failure patients with a healthy kidney from a recently deceased person. Living donor kidney transplant surgery provides a kidney from a donor who is still alive. As most people have two kidneys, kidney failure patients' relatives or friends may offer to donate one of their kidneys. Kidney transplants can dramatically improve kidney function and lower or eliminate the need for dialysis.
People with kidney failure are advised to eat a nutritious diet, monitor and lower blood pressure, and to best manage diabetes. Exercise and a tobacco-free lifestyle may also help patients with kidney failure.
Kidney Stones
Kidney stones are hard deposits that form in the kidneys, made up of minerals that are normally present in urine. They can vary in size, from as small as a grain of sand to as large as a nickel, occasionally even larger. Sometimes they lodge in the kidney, and sometimes they break free and make their way out through the urinary tract, which can be extremely painful.
Kidney stones can be smooth or jagged and are yellow to brown in color. They are mostly comprised of the minerals calcium, oxalate, and phosphorus. Examining the stones to see what they are made of can show what caused the stone to be formed in the first place. For example, a stone made of mostly calcium, which is the most common type, can happen any time the urine becomes too concentrated due to dehydration or a blockage in the kidney. A uric acid stone forms when acid levels in the urine get too high, usually due to excessive consumption of animal protein such as meat and fish. A struvite stone is a sign of certain infections, and a cystine stone can be due to a genetic disorder that raises the risk of kidney stones.
The most common symptom of kidney stones is pain, either in the back or lower abdomen, or severe pain when urinating. There may also be blood in the urine. Treatment for kidney stones depends on how large the stone is. Very small stones can pass out of the body on their own, and they do not require treatment other than drinking adequate water and taking pain killers. Larger stones need to be broken apart and removed. The main treatment options are:
People who have had one kidney stone are at risk of developing another. To reduce this risk, patients are given instructions specific to the type of stone they developed. Generally the instructions will include drinking more water to dilute the urine, but it may also involve lowering sodium intake or eating less meat.
Urinary Tract Infection (UTI)
A urinary tract infection, or UTI, happens when bacteria enter the body through the opening where urine is normally released. The bacteria infect the lining of the urethra and bladder, turning them red and inflamed. This causes pain in the abdomen or pelvic area, a burning sensation during urination, a sense of urgency about going to the bathroom, frequent urination, and urine that smells bad and looks cloudy, or even contains traces of blood. If the urinary tract infection is severe, it may travel all the way to the kidneys, a more serious kind of UTI called pyelonephritis. Patients with this kidney infection might have blood in their urine, feel back pain, and develop a fever.
Urinary tract infections are extremely common: 12% of all men and 40-50% of all women will have a urinary tract infection during their lifetime. They are more common in women because women have shorter urethras, so bacteria have a shorter distance to travel from the outside of the body to the bladder and cause an infection. Some people also have urethras that are an unusual shape or have an obstruction in the urethra that makes getting a UTI more likely. Also, certain chronic illnesses like diabetes weaken the immune system, so any bacteria in the body are more likely to cause an infection.
A urinary tract infection can be diagnosed very quickly by a doctor. A sample of urine can be examined under a microscope for the presence of bacteria or white blood cells. There are also diagnostic strips that can be used to test a urine sample without the need for a microscope. Once a diagnosis is made, treatment is a course of oral antibiotics, and most patients feel better within just a few days. There are some things that patients can do themselves to help reduce the risk of getting a urinary tract infection in the future. Stay well hydrated, wipe from front to back after going to the bathroom, wear breathable cotton undergarments, and don't hold it in when patients feel the urge to go.
She completed residency at Bronx-Lebanon Hospital Center. She is certified by the American Board of Pediatrics - Pediatrics and has a state license in New York.
Residency: Bronx-Lebanon Hospital Center (2010)
Board Certification: American Board of Pediatrics - Pediatrics (2011)
Licensed In: New York
Dr. Laura Malaga Dieguez, PhD, MD appears to accept the following insurance providers: Aetna HMO, Local 1199 - NYU Hospital Member Choice, Aetna Medicare, Aetna Indemnity, Local 1199 PPO, Molina Healthcare, HIP EPO, First Health, HIP Access II, HIP Access I, MagnaCare PPO, Humana Medicare Advantage, Private Healthcare Systems (PHCS), BlueCross BlueShield of Florida, CIGNA Open Access, United Healthcare PPO, United Healthcare POS, United Healthcare Indemnity, United Healthcare HMO, United Healthcare EPO, United Healthcare Choice, Aetna Open Access HMO, Vytra HMO, Healthfirst Medicaid, TRICARE, Anthem, Aetna PPO, Healthfirst Medicare, Blue Cross Blue Shield Medicare HMO, Aetna Open Access EPO, United Healthcare Medicare HMO, AARP, WellCare Medicare, WellCare, Medicare Part B, United Healthcare Medicare, Medicare Advantage, United Healthcare, Medicaid, Cigna, Guardian, Fidelis Care, HIP PPO, HIP POS, HIP HMO, Aetna, HIP Child Health Plus, MultiPlan PPO, MultiPlan, Aetna POS, United Healthcare Navigate, Great-West Healthcare HMO, Great-West Healthcare, Golden Rule, Community Care Network (CCN), Trustmark , Beech Street PPO, Kaiser Permanente, GHI HMO, CIGNA PPO, Group Health Incorporated (GHI), CIGNA HMO, EmblemHealth, CIGNA Indemnity, Healthfirst Child Health Plus, Elderplan, Medicaid Managed Care, TriWest, Blue Cross Blue Shield HMO, Blue Cross Blue Shield POS, Blue Cross Blue Shield EPO, Blue Cross Blue Shield Indemnity, US Family Health Plan, UnitedHealthcare, HealthSpring, Blue Cross Blue Shield PPO, Railroad Medicare, GEHA, BCBS PPO (NYU Langone Suffolk Employees), BCBS Healthplus Special Needs, BCBS PPO/EPO Small Group, Teamsters Allied Benefits, Show more, Surest, Healthfirst Green Leaf Exchange, Apwu Health Plan, Christian Brothers Services, MetroPlusHealth Medicare, CDPHP, Qualcare Inc, Oscar Platinum Edge Exchange, Hotel Trades Council, Insurance Design Administrators, Healthfirst Essential Plan 1 & 2, Aetna EPO (American Express employer), Health Net of California, Oscar Bronze Edge Exchange, Global Excel, NYC Employees PPO Plan, Healthfirst Silver Leaf Exchange, BCBS Healthplus Essential Plan 4, BCBS Healthplus Essential Plan 3, BCBS Healthplus Essential Plan 2, BCBS Healthplus Essential Plan 1, American Plan Administrators, MetroPlusHealth Gold, Healthfirst Platinum Leaf Exchange, BCBS Local 32BJ Employees, AXA Assistance USA, Healthfirst Gold Total, Pro, Plus EPO, Aetna Medicare Signature Care HMO, Nippon Life-Aetna, Fiserv Health, UMR GEHA, Mutual of Omaha, UMR, BCBS Mediblue Medicare PPO, BCBS Healthplus Gatekeeper exchange, Screen Actors Guild, MetroPlusHealth Medplus Plan Exchange, Aetna Open Access NYU Langone Care Plan (NY University Employees), Meritain Health, HIP VIP Medicare Bold, Administrative Concepts, Healthfirst Silver Total, Pro, Plus EPO, Oscar Gold Edge Exchange, Aetna Advantage Choice POS I & II Plan (NY University Employees), BCBS Healthplus NY Child Health Plus NY, BCBS EPO (NYU Langone Suffolk Employees), NY Fire Department - WTC, Aetna POS (American Express Employer), Healthfirst Personal Wellness Plan, BCBS Blue Access EPO Small Group, AETNA EPO (NYULH Employees), BCBS Healthplus Mediblue Advantage, MetroPlusHealth Child Health Plus, MetroPlusHealth Essential Plan 3 and 4, Aetna Signature Administrators PPO, Healthfirst Platinum Total, Pro, Plus EPO, Health Republic of New Jersey, Nippon Life Ins Co, MetroPlusHealth Goldcare, MetroPlusHealth Gold Plus Plan Exchange, MetroPlusHealth Essential Plan 1 and 2, Healthfirst Essential Plan 3 & 4, HIP VIP Medicare Prime, New York Hotel Trades, Global Health, Oscar Secure, Healthfirst Bronze Leaf Exchange, Amidacare, Nippon Life of America-Aetna, World Trade Center - Sedgwick, NYS Health Insurance Plan - The Empire Plan, Excelsior Plan, NY Student Employee Health Plan, Aetna Value Choice POS I & II Plan (NY University Employees), US Life Insurance Company, BCBS Blue Access PPO Large Group, Oxford Health Plans Liberty, Wlny-TV Inc., HIP Optum Health, Oscar Silver Edge Exchange, Aetna International, Hamaspik Choice Medicare DSNP, Medicare Part A and B, MetroPlusHealth Bronze Plus Plan Exchange, Healthfirst Gold Leaf Exchange, MVP Preferred EPO, BCBS PPO (BlackRock Employees), BCBS Out of State or Region, Aetna Meritain Health, Healthfirst Bronze Total, Pro, Plus EPO, BCBS Mediblue Select HMO/Extra HMO, IUOE Local 14-14B, Chesterfield Resources Inc, ArchCare, Diversified Administration Corporation, VNS NY Choice Select Health, WellNet, Aetna Student Plan, Health And Recovery Plan (Harp), BCBS EPO (BlackRock Employees), Allied, MetroPlusHealth Platinum Plus Plan Exchange, Empire Mediblue Healthplus Dual, 1199SEIU Benefit Funds, Qualcare Direct, Oxford Health Plans Freedom, Professional Benefit Admin, MetroPlusHealth Silver Plus Plan Exchange, BCBS Blue Access GEPO Small Group, Wellfleet-NYU Student, Starmark, Aetna NY University Retiree Medical Plan, AETNA EPO (Sunset Park Employees), BCBS Blue Access EPO Large Group, WTC Health Program and BCBS Federal Program.
According to our sources, Dr. Laura Malaga Dieguez, PhD, MD accepts the following insurance providers:
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These charts describe general payments received by Dr. Laura Malaga Dieguez, PhD, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.
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$262
SOLIRIS $262 |
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$238
OXLUMO $238 |
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$122
Rivfloza $122 |
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$114
(815) Thiola $114 |
| $735 |
Dr. Laura Malaga Dieguez, PhD, MD has received 79 research payments totaling $137,916.
NYU Langone pediatric nephrologist Dr. Laura Malaga-Dieguez manages kidney disease, acute and chronic renal failure, and kidney cancer.
