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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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In What Level Of Creatine Dialysis Is Needed?

my creatin is 3.8.in october 2011 it was 2.9.my current gfr is 16. kindly advise whethewr I should get A.V. fistyula is to be done at present and what level of creatine an gfr i need dialysis.please let me know at this stage any other medication can help to avoid dialysis. i am diabetic and have B.P.for about 10 years
which is under control
R.Shah Newyork Usa
Wed, 17 Sep 2014
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Nephrologist,  's  Response
Dear Shah,
It is very important to have premptive AVF at this stage ,though you might not require dialysis in near future.It is best to have good glycemic control and blood pressure control which can postpone your dialysis.The only way to ovoid dialysis is kidney Transplant.
There is no specified creatinine level at which dialysis is initiated,its the symptoms like breathing difficulty,loss of apetite and persistent nausea/vomitings which decide initiation of dialysis in patients having
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In What Level Of Creatine Dialysis Is Needed?

Dear Shah, It is very important to have premptive AVF at this stage ,though you might not require dialysis in near future.It is best to have good glycemic control and blood pressure control which can postpone your dialysis.The only way to ovoid dialysis is kidney Transplant. There is no specified creatinine level at which dialysis is initiated,its the symptoms like breathing difficulty,loss of apetite and persistent nausea/vomitings which decide initiation of dialysis in patients having