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Suggest Medication For Diabetes That Will Not Affect Kidney Function

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Posted on Thu, 26 Oct 2017
Question: I am type 2 diabetic. I have decreased kidney function that is stable. What diabetic drug will work for me so that my kidney function does not get worse. My A1C is stable at 6.1.
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Answered by Dr. Ivo Ditah (41 minutes later)
Brief Answer:
A1C of 6.1 without medications is good. No drugs needed at this time!

Detailed Answer:
Hi and thanks so much for this query.

Medications are needed to keep A1C below 7%. If you are at 6.1 on diet and exercise only, there is no need for any anti-diabetic medication at this time. If this however rises to more than 6.5%, then at that time only would I consider getting drugs as part of the plan. Your kidney function wouldn't deteriorate with an A1C value of 6.1.

I hope this helps and guides. I wish you well. Feel free to follow up with me if need be.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Ivo Ditah (14 minutes later)
I am at 6.1 with medication. I was just advised yesterday to go off of the medication.
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Answered by Dr. Ivo Ditah (4 minutes later)
Brief Answer:
I will suggest you observe of diet and exercise only!

Detailed Answer:
Hi,

I will suggest you go with exercise and diet only. If your 3month control shows increased A1C, then there is real need for medication. At this time, there is certainly no reason for intense medication used given your numbers. I will also like to obtain and have a look at you daily blood sugar values which would help inform us whether we are on the right track on not.

I hope this helps. I wish you well. Feel free to follow up with me anytime.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Ivo Ditah

Internal Medicine Specialist

Practicing since :2002

Answered : 3993 Questions

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Suggest Medication For Diabetes That Will Not Affect Kidney Function

Brief Answer: A1C of 6.1 without medications is good. No drugs needed at this time! Detailed Answer: Hi and thanks so much for this query. Medications are needed to keep A1C below 7%. If you are at 6.1 on diet and exercise only, there is no need for any anti-diabetic medication at this time. If this however rises to more than 6.5%, then at that time only would I consider getting drugs as part of the plan. Your kidney function wouldn't deteriorate with an A1C value of 6.1. I hope this helps and guides. I wish you well. Feel free to follow up with me if need be.