HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

Suffering From Kidney Disorder, Creatinine, Sugar Level And BP Is High. Suggest?

default
Posted on Wed, 2 Oct 2013
Question: my father is suffering from kidney disorder .His critnine value is 5.9 .his debatis is 149 and bp is 170
doctor
Answered by Dr. Pavan Kumar Gupta (1 hour later)
Brief answer.
High creatinine with diabetes and high blood pressure indicates kidney damage called as diabetic nephropathy.

Detailed answer...

Hello,
Thanks for the query.
Diabetes is the leading cause for kidney problems, and high creatinine levels indicate kidney damage.
Ideally your father should be jointly managed by a nephrologist and a diabetologist.

The main treatment offered is ...

All efforts should be made to decrease the damage to the kidneys and this is done by meticulous control of blood sugar levels.
Meticulous control of blood pressure (it should be brought below 120/80.)

Avoid meat as it results in creatinine formation.

Avoid all kidney damaging drugs like pain killers.

There should be prompt control of potassium diet is advised.

Instead of oral anti diabetic drugs, insulin should be started.

A high creatinine level with shortness of breath, extreme weakness, vomiting etc. would require a dialysis treatment.

Consult a nephrologist and a diabetologist as early as possible.

I hope it helps however you may revert to me for any further query.

Best of luck
Regards,

Above answer was peer-reviewed by : Dr. Yogesh D
doctor
default
Follow up: Dr. Pavan Kumar Gupta (44 minutes later)
Is creatinine level can be brought back to normal level or it will continue to rise day by day.Please suggest any process to reduce Blood Pressure.
doctor
Answered by Dr. Pavan Kumar Gupta (7 hours later)
Hello,

Creatinine is a waste product secreted by the kidney. When kidney gets damaged and loses functioning, this product gets accumulated in the blood as seen by serum creatinine values. Although through various process such as dialysis we can reduce the load on kidney and decrease creatinine level; complete reversal of the condition is most often a difficult task. At best you can slow down the continuing damage of nephrons and hence the progress of kidney damage is slowed. We can do that by controlling your blood sugar levels and blood pressure meticulously along with other measures outlined above.
Once the kidneys are completely damaged,then there is no alternative except to opt for kidney transplant.

Control of blood pressure is achieved by use of ACE inhibitors and ARB's group of medications. Use of these medicines reduce intraglomerular pressure and delay the onset of end stage renal failure (ESRD).

Hope this answers your query.

Thanks
Above answer was peer-reviewed by : Dr. Prasad
doctor
default
Follow up: Dr. Pavan Kumar Gupta (1 hour later)
Is eye disorder is in patient then it will also hamper kidney creatinine level?
doctor
Answered by Dr. Pavan Kumar Gupta (1 hour later)
Hello,
Eye disorder doesn't hamper any creatinine levels ,rather eye disorders are commonly associated with diabetic nephropathy because both are microvascular diseases.
These eye disorders could be diabetic retinopathy,cataract formations etc.
Thanks
Note: For further queries related to kidney problems and comprehensive renal care, talk to a Nephrologist. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
Answered by
Dr.
Dr. Pavan Kumar Gupta

General & Family Physician

Practicing since :1978

Answered : 6704 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Suffering From Kidney Disorder, Creatinine, Sugar Level And BP Is High. Suggest?

Brief answer.
High creatinine with diabetes and high blood pressure indicates kidney damage called as diabetic nephropathy.

Detailed answer...

Hello,
Thanks for the query.
Diabetes is the leading cause for kidney problems, and high creatinine levels indicate kidney damage.
Ideally your father should be jointly managed by a nephrologist and a diabetologist.

The main treatment offered is ...

All efforts should be made to decrease the damage to the kidneys and this is done by meticulous control of blood sugar levels.
Meticulous control of blood pressure (it should be brought below 120/80.)

Avoid meat as it results in creatinine formation.

Avoid all kidney damaging drugs like pain killers.

There should be prompt control of potassium diet is advised.

Instead of oral anti diabetic drugs, insulin should be started.

A high creatinine level with shortness of breath, extreme weakness, vomiting etc. would require a dialysis treatment.

Consult a nephrologist and a diabetologist as early as possible.

I hope it helps however you may revert to me for any further query.

Best of luck
Regards,