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Elevated serum creatinine levels despite taking medication. Have diabetes and hypertension

my serum creatinin levelwasranging froim 2 t o2.7 for thepast ten years .it increasedto 3.2 in it has gone up to 3.7 . iam diabetic& hypertensive since 1986 at present both are under control i am takig the following medicines
fordiabetes-volix .3 3 times
levimir-24 unit at night
actrapid insulin-6 units-12 units -10 units 3 timesa day
for bp
arkamin 3 times
minipress xl 7.5 morning
starpressxl 50 morning
benace 5 morning night
doxacard2 night
kidney problem ckd stage 3
ketosteril 3 daily
nodosis 3 daily
phostat twice daily
coq 300 morning
i am 72 years old & my weight is 72 kg & for varius other ailments i take
neksium 40
nervz b
neugaba m
orofer xt
i am worried about increase in serum creatinin
plese advise how to control
my e mail id is YYYY@YYYY
Asked On : Wed, 10 Apr 2013
Answers:  1 Views:  112
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General & Family Physician 's  Response
Your s. creatinine has been progressively going up suggesting deterioration of kidney function. This type of  damage is usually irreversible. As far as medicines are concerned ,they are perfectly all right and there is nothing to add in this treatment.
I would simply like to guide you on general lines so as to keep you aware of every thing.
To slow down further deterioration....
....Your  blood sugar needs to have impeccable control (HbA1c
.... Your blood pressure should be controlled to levels below 120/80 mmHg. 
....You are already on BENACE,which is an ACE INHIBITOR and this helps in slowing down the deterioration of kidney functions in a diabetic.
...Avoid routine pain killers.
..Don't take more than 4-5 gms of salt per day.
...Restriction of proteins to be observed and to be taken as advised by the doctor and is generally between .6 to .8 gms/ kg/ day.
....Quit alcohol and smoking,if any.
Always keep your blood sugar levels and blood pressure in meticulous control.
I hope it helps.
Answered: Wed, 10 Apr 2013
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