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Diabetic. Have elevated sugar level and found bilateral grade 1 renal parenchymal changes. Solution?

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Internal Medicine Specialist
Practicing since : 2001
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My mother is Aged about 74 years and diabetic.It is noticed 'BILATRAL GRADE 1 RENAL PARENCHYMAL CHANGES' IN usg. She is Diabetic.Her Serm creatanine is 0.9 and urea is 37 Serum sodim 132, potassium 5.2 . Since 10days she is suffering from elevated sugar levels. Fasting sugar 190 and post luNch 290. hOW TO GO ABOUT IT
REGDS
XXXXXXX
Posted Sun, 17 Mar 2013 in Diabetes
 
 
Answered by Dr. Ram Choudhary 1 hour later
Hi XXXXXXX,
Welcome to healthcare Magic!
Your mother is having the complication of diabetes affecting the kidneys, called Diabetic Nephropathy.When the diabetes is 8-10 yrs time it affects the kidneys, nerves and retina which is termed Triopathies of diabetes.
The control of the blood sugar and a close association with a local physician for diabetes management is the key to limit the progression.
If the sugar levels you have mentioned are high despite treatment then it may be possible that she may be having some stressful problem like anxiety, infections particularly respiratory tract infection and also make sure that she has not discontinued the treatment as such.
You should get a chest Xray, a complete blood count, renal function test should be repeated regularly because she has high potassium levels for that reason she should avoid potassium XXXXXXX foods like fruit juices, coconut water, bananas, citrus fruits etc.
Also get a blood culture, Urine routine and culture tests to detect any severe infection in the body as a cause of high blood sugar levels.
I hope the advise would be informative and useful for you.
Take Care!
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