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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Treatment For Diabetes With Hypertension?

My father is Diabetic with Hypertension. The blood flow in his legs is very less as diagnosed by podiatrist. He needs get Angiography done for both legs and the serum creatine level is 1.4 took months back. Is it sufficient to get angio done and do we need to get any other blood tests done?
Sat, 1 Feb 2014
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Diabetologist,  's  Response
Hi, welcome to our site. I am Dr Saumya Mittal.

Read your query. That is a very significant question and i appreciate your problem. I will try my best to answer your query

at creatinine level of 1.4, i would avoid angiography in a patient of mine as far as possible.

Those creatinine levels mean that the patient is starting to develop renal involvement of diabetes. i would in fact suggest meeting a nephrologist.

what happens is that the dye given and introduced in the body has to be removed via the kidneys and therefore adversely affects the kidneys. with creatinine of 1.4, the chances of developing renal failure may be high

there are some medicines and iv fluids that may possibly help reduce the creatinine sufficiently for the procedure if needed. but i would definitely cousel meeting a nephrologist

I hope this helps you. Inform the reports mentioned above so i can be of help further. Best of luck.

I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you.

Please do understand that some details could be extracted from a detailed history and examination.

Looking forward to your return query with the details asked so that I can help you further.
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What Is The Treatment For Diabetes With Hypertension?

Hi, welcome to our site. I am Dr Saumya Mittal. Read your query. That is a very significant question and i appreciate your problem. I will try my best to answer your query at creatinine level of 1.4, i would avoid angiography in a patient of mine as far as possible. Those creatinine levels mean that the patient is starting to develop renal involvement of diabetes. i would in fact suggest meeting a nephrologist. what happens is that the dye given and introduced in the body has to be removed via the kidneys and therefore adversely affects the kidneys. with creatinine of 1.4, the chances of developing renal failure may be high there are some medicines and iv fluids that may possibly help reduce the creatinine sufficiently for the procedure if needed. but i would definitely cousel meeting a nephrologist I hope this helps you. Inform the reports mentioned above so i can be of help further. Best of luck. I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you. Please do understand that some details could be extracted from a detailed history and examination. Looking forward to your return query with the details asked so that I can help you further. (If the answer has helped you, please indicate this)