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Is A Creatanine Level Of 1.4 A Concern?

Posted on Mon, 3 Oct 2016

Question: I am a diabetes, BP and heart patient form over a decade. For last 2/3 years I have been taking the following medicines: For Diabetes .. Glucobay50M and Gliclizide M both in the morning and night for BP...Telsar H in the morning and Prolomet am 50. Recently my tests showed Creatanine at 1.4 and Protein in urine at ++. All medicines have been changed: I am Trajenta duo 2.5,and Diamicroon 60 XR in the morning and diamicron 60 XR in the evening. My blood sugar presentlly hovers around 110-130 fasting and 230/40 PP and 160 Random. Pl . advise how they can be around 80/90 fasting and 130/40 PP.

Answered by Dr. Sridhar K (57 minutes later)

Brief Answer:
Post Prandial drug can be taken

Detailed Answer:
Hi

Thanks for writing to health care magic

Based on the history given, your fasting sugars are ok however that can be controlled to tighter levels that is around 90 or 100 by strict diet and exercise

Try to break up the meals and have lesser quantity during break fast, lunch, dinner and between meals you can have some snacks like butter milk, XXXXXXX biscuit(2 nos), cucumber, fruits like apple (1/2 piece), Guava(1)

Do daily exercise/walking for 30-45 minutes(please keep sugar tablets handy during the same and if you feel any hypoglycemic symptoms like, giddiness etc you can have it)

With regard to your after food sugar control, for patients with similar values I would have prescribed 0.1 mg Voglibose three times daily i.e one tablet to be taken before every main meal

Please follow the above advice and get back to me with the lab values i.e FBS, PPBs, sr creatinine and HBA1c after one month

Wish you good health

Regards

Dr Sridhar K

Above answer was peer-reviewed by : Dr. Priyanka G Raj

Follow up: Dr. Sridhar K (33 minutes later)

My routine is as follows:

Breakfast at 7:30 am consists of around 1.5 parathas and tea.
snacks at 10: consisting of Khakra, porrige or similar stuff
Lunch between 11;30 AND NOON CONSISTING OF 1.5 CHAPATIS , a vegetable and dal. Tea at 3:30 with biscuits or snacks . Dinner at 6:45 same as lunch.

Unfortunately I have not been walking or any physical exertion for about 4 years.Corns in sole of the feet prevent walking.
The medicine prescribed by you is in addition to the ones I am taking?

Answered by Dr. Sridhar K (24 hours later)

Brief Answer:
Exercise

Detailed Answer:
Hi , Exercise/walking will help in effective insulin utilisation. Suggest to see a surgeon for your corn problem and start exercise at the earliest. With regard to the new medicine it is in addition to your present medication . wish you good health

Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.

Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar