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Diabetes, causes of renal failure - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Diabetes
Answered by

General & Family Physician
Practicing since : 2009
Answered : 680 Questions
Doctor :   hi
Doctor :   how can i help you
User :   HELLO
User :   i have a quick question for you. I have chronic rental disease diabetis related
Doctor :   sure
Doctor :   yes diabetes can we one the causes of renal failure
Doctor :   long standing diabetes
Doctor :   if not controlled well
User :   my creatitine level base line runs 1.5 in the past, it is currently under good control
Doctor :   ok
User :   diabetic for 28 years
Doctor :   how long u have been diabetic
Doctor :   ok
Doctor :   Please provide these details: Age, Gender, Location, Occupation, Marital status, Height and Weight.
User :   i had an issue in november where they implanted a pace maker
User :   6 foot 350
User :   6 foot 350
Doctor :   ok
User :   while i was in the hosptial i had them double my dose of demadex from 20 twice a day to 40 mg twice a day by accident they dired me out my creatitine went up to 2.4
Doctor :   ok
User :   at the same time they used vancomycin for a propalactic antibiotic for the implant
User :   at the same time they used vancomycin for a propalactic antibiotic for the implant
Doctor :   what are the current creatitine levels
User :   which was nephrotoxic
Doctor :   ok
User :   my level retuned to 1.5 in the hosptial
User :   went up to 2.1 in rehab
Doctor :   ok
User :   with fluids we brough it back down to 1.3
User :   then went back to around 1.5 again
Doctor :   ok
User :   on dec 24th it was 1.6 two weeks ago 1.75 and this last friday 1.8 bun was 65 and 55 respectively
Doctor :   ok
User :   one doc says he feels it is probably a hydration issue rather than the kidneys getting a lot worse
Doctor :   yes it could
Doctor :   be
User :   at is your feeling on this matter since it
Doctor :   more complete estimation of renal function can be made when interpreting the blood (plasma) concentration of creatinine along with that of urea. BUN-to-creatinine ratio
Doctor :   a urea level raised out of proportion to the creatinine may indicate a pre-renal problem such as dehydration
Doctor :   blood creatinine levels is observed only with marked damage to functioning nephrons
Doctor :   A better estimation of kidney function is given by the creatinine clearance test
User :   nep doc said the fact that before when i took in extra fluids it dropped back down made him feel that it was hydration
User :   issue
Doctor :   yes it could be issuse of hydration
Doctor :   did the doctor for repeat check in few days time
User :   no i just had the two checks two weeks apart
Doctor :   avoid taking any drugs, unless prescribed by doctor
User :   i have been on antibiotics kflex for three weeks during this period
Doctor :   ok
Doctor :   continue with it and finish the course
Doctor :   as advised by the doctor
User :   have done that now i am on clndamycin for toe infection that is clearing up for the next week
Doctor :   a baseline serum creatinine of 2.0 mg/dL (150 μmol/L) may indicate normal kidney function in a male body builder
Doctor :   in normal individuals it can range between
Doctor :   0.7 to 1.2 mg /dl
User :   I am obese large frame but my weight is mostly fat not muscle
Doctor :   ok
Doctor :   i need to know the past creatinine levels
User :   my base has been between 1.3 and 1.5 for the last four years
Doctor :   to comment on ur kidney function levels
Doctor :   then u need not worry
User :   it has only hit 1.7 twice in the last five yeras
Doctor :   but make sure u will take adequate precautions
Doctor :   before u consume any medicines
Doctor :   if the levels come down
Doctor :   then ur kidney are functioning
Doctor :   or regained there function
Doctor :   well
User :   well the fact that it has risen to 1.7 and 1.8 in the last two weeks is what concerns me
Doctor :   yes u should be
Doctor :   u need to discuss with the treating doctor
Doctor :   see if can adjust the dose of anti biotics
Doctor :   if the levels are moving up
Doctor :   are you able to follow
User :   ok thank you sir appreciate you help
Doctor :   ur welcome
User :   will do
Doctor :   take care
User :   have a great day
User :   have a great day
Doctor :   u too
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