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

Kidney disease due to diabetes - Online Doctor Chats

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

General & Family Physician
Practicing since : 2005
Answered : 2263 Questions
Doctor :   hi
Doctor :  
how can i help you
User :   hello i have ckd my serum creatitine base line has been around 1.5 to 1.6 here lately I have had issues with it jumping up to 1.8, 1.9, 2.3 I test a week later hydrate more and it comes down is this just hydration issues
Doctor :  
your age
User :   if the kidneys are worse would hyration still bring down the numbers or would they stay higher, and does hydration give a false low reading 65
User :   65
Doctor :   may i know your kidney disease in specific if you know
User :   diabetic related
Doctor :  
Doctor :  
normally hydration means the fluid saturation
Doctor :  
do you have welling of the limbs
User :   yes i have edema
User :   in the les i take diuretics
Doctor :  
Doctor :  
creatinine levels are indicator of the kidney function
Doctor :  
when they are normal the function of the kidney goes smoothly
Doctor :  
but when the level raises more than normal it is of concern
Doctor :  
it indicates that excess wafer , salt and unwanted toxic substances are not removed upto the mark
Doctor :  
which leads to increase in edema
User :   ok, my question is when it fluctuates up and down is this do to dehydration issues because of the diuretics i am taking
Doctor :   normally when you are on diuretics it does fluctuates
Doctor :  
and when the dehydration is more as such diuretics are withdrawn
Doctor :  
but if the edema is present it doesnt allow dehydration
Doctor :  
to take over
User :   ok i think i understand
Doctor :  
as the fluid is shifted from the edematous area to the blood and from blood to all over the body
User :   last week my cr was 1.9 my bun was 67 would that indicate dehydration
User :   the cr to bun ration was over 30 to 1
Doctor :  
No because dehydration as such means loss of free water from the body
User :   ok that had me confused i read on lne that when the ratio was over 20 to 1 it was usually and indicator of dehyration
Doctor :  
in diabetes leading to kidney disease creatinine and BUN are raised
Doctor :  
and normal value creatinine and BUN goes with 1:20 normally
Doctor :  
when one increase normally other increases
User :   ok
Doctor :  
any discrepencies will indicate hydration or dehydration
Doctor :  
User :   ok thanks that was my main question i appreciate your help
Doctor :  
please fill the feedback form before you leave
Question is related to
Diseases and Conditions
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