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Uncontrolled diabetes leading to kidney damage, kidney tests - Online Doctor Chats

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

General & Family Physician
Practicing since : 2009
Answered : 530 Questions
User :   Dr My Father is Suffering from TYpe 2 Diabeties and recently being adviced for initial symptoms of kidney damage with Creatinine 2.9 mg%
Kindly advice on the same
Doctor :   hi
User :   sir pl give advice on above querry
Doctor :   uncontrolled diabetes does lead to kidney damage
User :   the disease is dedected on 23 may 2010
Doctor :   what were the other tests done for him?
User :   micro albumin 1.09 mg/l
Doctor :   was ultrasound abdomen done for him? if yes what did it show?
User :   no
Doctor :   please provide his age, location, height, weight , details of past medical illness if any
User :   s.urea 62 mg %
User :   blood sugar normal
Doctor :   what were the other blood and urine tests done for him? if you have them with you, please give the test values
User :   hb a1c 4.9 %
Doctor :   please provide his age, location, height, weight , details of past medical illness if any
Doctor :   his sugars seem to be in control since HbA1C is fine and even blood sugar is normal. does he he have any other illness associated?
User :   73 years , XXX, 5' 2 '' , 65 kg heart slight blockage
Doctor :   what precipitated the heart blockage? does he have cholesterol and blood pressure problem?
User :   hemoglobin 10.1 gms/100cc
User :   cholesterol was slighltly high while bllod pressure was always normal
Doctor :   does your father used to consume alcohol? or used to have any habits if the past?
User :   yes very rarely
Doctor :   ok
Doctor :   since the urea and creatinine levels show kidney damage,
Doctor :   i would recommend you to follow it up
User :   what precautions are to be taken doctor
Doctor :   with a abdominal ultrasound and further special tests for the kidney after consultation with a nephrologist.
Doctor :   and in the meantime, let be on a ow sugar, low potassium diet.
User :   is the kidney damage recoverable at this stage
Doctor :   give him a normal diet but with less oil and protein, the food should be easily digestible
Doctor :   the ultrasound and the kidney biospy can tell how much damage is actually happened
Doctor :   and whether it is recoverable or not
Doctor :   only with the blood test we cannot say
User :   What is prohibited
Doctor :   get him examined by a nephrologist and go ahead with the further tests as mentioned above.
Doctor :   WWW.WWWW.WW User :   Could you pl reccommend a nephrologist in XXX
Doctor :   visit think to find XXX in XXX
Doctor :   WWW.WWWW.WW
Doctor :   this link will give you nephrologist in XXX
User :   Am i know to whom am i talking
Doctor :   I am Dr. XXXXXXXX here.
User :   what else we have to care abouthim
Doctor :   is there anything else I can help you with?
User :   Dr XXXXXXXX from which city
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