Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
178 Doctors are Online

Diabetes, causes of renal failure - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Diabetes
Answered by

General & Family Physician
Practicing since : 2009
Answered : 594 Questions
Doctor :   hi
Doctor :   how can i help you
User :   HELLO
User :   i have a quick question for you. I have chronic rental disease diabetis related
Doctor :   sure
Doctor :   yes diabetes can we one the causes of renal failure
Doctor :   long standing diabetes
Doctor :   if not controlled well
User :   my creatitine level base line runs 1.5 in the past, it is currently under good control
Doctor :   ok
User :   diabetic for 28 years
Doctor :   how long u have been diabetic
Doctor :   ok
Doctor :   Please provide these details: Age, Gender, Location, Occupation, Marital status, Height and Weight.
User :   i had an issue in november where they implanted a pace maker
User :   6 foot 350
User :   6 foot 350
Doctor :   ok
User :   while i was in the hosptial i had them double my dose of demadex from 20 twice a day to 40 mg twice a day by accident they dired me out my creatitine went up to 2.4
Doctor :   ok
User :   at the same time they used vancomycin for a propalactic antibiotic for the implant
User :   at the same time they used vancomycin for a propalactic antibiotic for the implant
Doctor :   what are the current creatitine levels
User :   which was nephrotoxic
Doctor :   ok
User :   my level retuned to 1.5 in the hosptial
User :   went up to 2.1 in rehab
Doctor :   ok
User :   with fluids we brough it back down to 1.3
User :   then went back to around 1.5 again
Doctor :   ok
User :   on dec 24th it was 1.6 two weeks ago 1.75 and this last friday 1.8 bun was 65 and 55 respectively
Doctor :   ok
User :   one doc says he feels it is probably a hydration issue rather than the kidneys getting a lot worse
Doctor :   yes it could
Doctor :   be
User :   at is your feeling on this matter since it
Doctor :   more complete estimation of renal function can be made when interpreting the blood (plasma) concentration of creatinine along with that of urea. BUN-to-creatinine ratio
Doctor :   a urea level raised out of proportion to the creatinine may indicate a pre-renal problem such as dehydration
Doctor :   blood creatinine levels is observed only with marked damage to functioning nephrons
Doctor :   A better estimation of kidney function is given by the creatinine clearance test
User :   nep doc said the fact that before when i took in extra fluids it dropped back down made him feel that it was hydration
User :   issue
Doctor :   yes it could be issuse of hydration
Doctor :   did the doctor for repeat check in few days time
User :   no i just had the two checks two weeks apart
Doctor :   avoid taking any drugs, unless prescribed by doctor
User :   i have been on antibiotics kflex for three weeks during this period
Doctor :   ok
Doctor :   continue with it and finish the course
Doctor :   as advised by the doctor
User :   have done that now i am on clndamycin for toe infection that is clearing up for the next week
Doctor :   a baseline serum creatinine of 2.0 mg/dL (150 μmol/L) may indicate normal kidney function in a male body builder
Doctor :   in normal individuals it can range between
Doctor :   0.7 to 1.2 mg /dl
User :   I am obese large frame but my weight is mostly fat not muscle
Doctor :   ok
Doctor :   i need to know the past creatinine levels
User :   my base has been between 1.3 and 1.5 for the last four years
Doctor :   to comment on ur kidney function levels
Doctor :   then u need not worry
User :   it has only hit 1.7 twice in the last five yeras
Doctor :   but make sure u will take adequate precautions
Doctor :   before u consume any medicines
Doctor :   if the levels come down
Doctor :   then ur kidney are functioning
Doctor :   or regained there function
Doctor :   well
User :   well the fact that it has risen to 1.7 and 1.8 in the last two weeks is what concerns me
Doctor :   yes u should be
Doctor :   u need to discuss with the treating doctor
Doctor :   see if can adjust the dose of anti biotics
Doctor :   if the levels are moving up
Doctor :   are you able to follow
User :   ok thank you sir appreciate you help
Doctor :   ur welcome
User :   will do
Doctor :   take care
User :   have a great day
User :   have a great day
Doctor :   u too
Question is related to
Medical Topics
© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor