Brief Answer:
See below!

Detailed Answer:

Hi,

I have reviewed your lab results.

1. Your kidneys are not in the best shape. They are failing. This is highlighted by the rising BUN levels and creatinine concentration. We must manage all factors that can aggravate this like Diabetes and Hypertension as well as avoiding medications that harm the kidneys such as OTC pain medications. Bring this to your doctor’s attention for more specifics.

2. If you have not been formally diagnosed with diabetes, it is about time you look into it. Your HBA1C points just to that. It is paramount that this be ascertained and managed according, especially with a falling renal efficiency.

3. You have low levels of Vitamin-D. This may be in line with the declining kidney function. You would benefit from ViD supplements. I generally offer 50,000IU for 8 weeks then followed by oral maintenance dose. Endeavor to bask yourself also in sunlight.

4. All other tests results are within acceptable limits.

I wish you well. I hope my answer has been helpful. Feel free to follow up with me if need be.

Regards,
Dr. Chobufo Ditah
General & Family Physician

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Brief Answer:
Your doctor should add Losartan / Lisinopril to your treatment!

Detailed Answer:

Hi,

Because you have both diabetes and hypertension, Losartan or Lisinopril or any other drug of this class is better as it also protects the kidneys. Your blood pressure goal should be less than 130/80mmHg so as to better protect the kidneys. Finally, consider a renal consult for kidney function evaluation and follow up.

Yes, 50,000IU is for Vitamin-D. However, there are many different treatment plans and your doctor might be using another which is still correct.

Hope I have answered your query. I wish you well.

Regards,
Dr. Chobufo Ditah
General & Family Physician

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