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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Diabetes, Abnormal Creatinine Levels, On One Kidney. On Diamacron MR. Help?

Dear Doctor, I am a diabetic and am on one kidney.My latest creatinine levels are 176umol/L and urea is at 8mmol/l My sugar of late has not been able to be controlled as I am on diamacron MR 120mg per day. Microalbumin is 30/mg/l. My next appoinment with the nephrologist is on the 25th of march and the results which I got lately is quiter upsetting. Is there no medication at all for kidney patients.? Regards /Menon
Mon, 25 Mar 2013
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Internal Medicine Specialist 's  Response
Hi,
Thanks for posting your query.
Diabetes is a multi organ disease with involvement of almost all organs of body due to its complications.
Blood sugar both fasting and postprandial must be in controlled range.
Diabetes and high blood pressure are the most common causes of deranged renal function worldwide.
You should consult with internal medicine specialist / nephrologist simultaneously and should go for thorough check up.
As per your defined blood reports are considered, your blood urea, serum creatinine are deranged and Microalbuminuria (30-300) level is normal.
You should also go for serum lipid profile, electrocardiography, urine routine microscopy, glycosylated hemoglobin (HbA1c).
Although few medications are available but chronic kidney disease due to diabetes may need hemodialysis or renal transplant.
You should remain in touch with nephrologist.
Take care,
Dr. Mayank Bhargava
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General & Family Physician Dr. Gopal Krishnam Raju's  Response
there good medications for kidney patients suffering with dm :)
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Have Diabetes, Abnormal Creatinine Levels, On One Kidney. On Diamacron MR. Help?

Hi, Thanks for posting your query. Diabetes is a multi organ disease with involvement of almost all organs of body due to its complications. Blood sugar both fasting and postprandial must be in controlled range. Diabetes and high blood pressure are the most common causes of deranged renal function worldwide. You should consult with internal medicine specialist / nephrologist simultaneously and should go for thorough check up. As per your defined blood reports are considered, your blood urea, serum creatinine are deranged and Microalbuminuria (30-300) level is normal. You should also go for serum lipid profile, electrocardiography, urine routine microscopy, glycosylated hemoglobin (HbA1c). Although few medications are available but chronic kidney disease due to diabetes may need hemodialysis or renal transplant. You should remain in touch with nephrologist. Take care, Dr. Mayank Bhargava