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Controlled diabetes with borderline creatinine levels - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Diabetes
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1358 Questions
Doctor :   Dr here
User :   hi doc
User :   i am a type 2 diabetic since last 14 years but i always keep it controlled
Doctor :   ok
User :   bt since dec '09 my creatinin has been increasing at the ratee of 0.1 per 3 months
User :   now it has reached 1.3
Doctor :   ok
Doctor :   1.3 is not that bad
Doctor :   may i know ur age ?
User :   plz giv me suggestions so tht i can keep it below trhis level ai isually it remained below 1
User :   my age is 44
Doctor :   ok
Doctor :   over time, with age, the creatinine keeps on increasing
Doctor :   But with diabetes, it is progressive
Doctor :   Use of ACEI a medication will help to reduce this progress
User :   im hypertensive also bt my BP remains 120 80 with the help of losar 50
User :   wht is ACEl medication which u ve mentioned above
Doctor :   can i know wat meds u take ?
Doctor :   losar is a type of ARB (angiotensin receptor blocker) a analogue, which helps in diabetes and is renoprotective
User :   Amyril 3mg & glyciphage 500 bd
Doctor :   the 2 meds just mentioned are for Diabetes
User :   i also tk cardace 2.5 and seloken xl 25 and optisulin
User :   wht is ACEl medication which u ve mentioned above
Doctor :   you are on the correct regimen for all conditions
Doctor :   may i know your HBA1C
User :   it is always below 6.5 sometimes it is below 6 also
Doctor :   GOOD for you
Doctor :   your diabetes is under good control
Doctor :   keep it that way for a long time and you may not have any issues
User :   then if everythng is allryt thn y creatinin is on bordr line
Doctor :   yes , buts thats ok, considering you have hTN & DM
Doctor :   you need not worry, but keep compliance with meds
User :   micro albimin is also -ve
Doctor :   good, that is a very good sign
User :   my height is 5' 10" wht should be the appropriate weight?
Doctor :   65 to 70 is good
User :   plz tel me abt the ACEI medication?
Doctor :   u are on the ARB (LOSAR) thats is equivalent of the same drug (ACEI)
User :   plz tel me the normal creatinin level
User :   i usually drink more than 5.5 ltrs of water wht suld be the appropriate water intake?
Doctor :   0.8 TO 1.2 is within normal for you considering your age
Doctor :   minimum 2-3 liters is good
User :   my weight is 82 is nt the reason for increase in creatinin
Doctor :   your physician must be lucky yo have you has his patient, as you are very complaint with medicines and lifestyle management
Doctor :   creatinine can change due to various activities, as well due to age
User :   it means acc to u my creatinin is beyond the limit?
Doctor :   also it depends on the weight as well,...
Doctor :   your level is just above, but there is no need to worry as the kidneys can manage you for a very long time
Doctor :   sometimes it can go upto 4.0 or 10 also, but those levels can cause renal failure etc
User :   except medis wht precaution shuld i tk to keep it below 1.2
Doctor :   follow diabetic and low salt diet (for HTN & DM)
User :   shuld i reduce my water intake frm the current 5.5 l?
Doctor :   Regular workout, adequate hydration, etc
Doctor :   not needed
Doctor :   keep it as u want
User :   1.3
User :   1.3!!! so acc to u is it not alarming/
Doctor :   not at all
Doctor :   but make sure that you are continuing to do what you are following right now.
User :   how much calories shud i take?
User :   im an this regime since last 10 years
Doctor :   for your weight, i would consider, 2300 calories would be good
User :   i hardly tk 1400 calories bcz my physician suggested me the same calories
User :   alcohol is allowed or not?
Doctor :   I hope you have understood my advice
User :   i wud lyk to bring it to ur notice tht whn i press my leg below the knee and above ankle i n frnt side there is a deppression which is more in left and less in ryt wht is it?
Doctor :   thats not significant
User :   i do not tk alcohol and i ve never done smoking
Doctor :   good
User :   yhanku $ ur advice
User :   thanks.....
Doctor :   you are welcome
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