Increased sugar and creatinine levels. Recovering from UTI. Advice - Online Doctor Chats
Hi Dr XXXXXXX here
There was some technical problem
Hi Dr, looks like some tech issue
did you get the reports
so had to disconnect it.
Yes i did
I went through it.
yes we are monitoring 3 times a day and administering appropriate insulin so his recent blood sugar levels are close to 150
yes i wanted to ask about that... what does it indicate... he has probably just recovered (or still recovering) from the urinary tract infection... is it because of that or some other kidney problem?
he is still recovering from the infection, because the ESR levels are still high
but you dont suspect kidney damage/ nephropathy?
Yes , he need to be treated first to control the infection
We cannot say right now that he has any kidney damage
he took the medicine for 10 days and stopped.
because it is not too high
also he needs to do scanning top confirm this
what kind of scanning?
ok that is good
also he is having hypothyroidism
his thyroid levels are low
I think your physician would ahve told you
ok, so he has been given all the medication
do you think the urinary infection would be okay in some time or do you think medication needs to be continued?
He needs to recover from infection first, even this will raise his sugar levels
since he is diabetic he will take a little while longer to lower his levels than normal people
It needs to be continued
he took intravenous antibio for 3 days and then nitrfur s for 10 days
you think continue with nitrofur s?
yes, for how many days was it prescribed to him
ok, then let him continue
Otherwise infection will spread
for how many days more?
if he has finished 3 days then 7 more days
no he finished 10days dose
if he has finished then you can stop, what medication is he taking now s=currently
thyronorm, insulin and heart and bp medicines
Is he in hospital right now
no at home
ok, did you repeat this urine test again after Dr XXXXXXX told you.
yes the report will be available in 2 days and then i consult you back again
ok, so this is the old report
no this is todays report
Does he have any burning sensation while passing urine
or any fever now
increased frequency while passing urine
Other than slight esr raise rest all are fine, according to the infection due to urinary tract infection
esr also has come down in one week, last time it was 104
ok compared to previous report.He needs to increase water intake and
does he take any syrup for infection
he can take this at night 2 tsp in a glass of water
this will help reduce any infection if present
Let him take the diabetic diet.
will do dr. thanks for your time
really appreciate your help
and do monitor the creatinine levels
ok, once in 3 months
ok sure thanks very much
you are welcome
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