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Diabetes under control, elevated creatinine and urea level. Ultrasound showed normal kidney, liver. Treatment suggestion?

hi , my father had been detected with diabtees and and was facing problem while doing urination . His sugar was 365 and creatinine was 8.4 when he was admitted in hosptial. Now after treatment his sugar level is under control ie from 90-120, but still his creatinine and urea level remain high ie almost 8 and urea 320.. He has already undergone dialysis 2 times. His current medication is lizoforce and sulfacef. we have alredy done sonograhpy all organs such as kidney , lever are shown normal in that. Kindly advice what could be done ? awaitng reply yogsh
Asked On : Thu, 19 Jul 2012
Answers:  1 Views:  115
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General & Family Physician 's  Response
Your father seems ro have developed diabetic Nephropathy.
Management includes
Meticulous control of blood sugar and hypertension
Avoid all nephrotoxic drugs and pain killers
Low protein and potassium diet to be given( reduce milk,meat,Dals,fruits and coconut water)
Patients with microalbuminaria are put on ARB's or ACE inhibitors even if BP is within normal limits
Keep repeating hemodialysis
If END STAGE RENAL FAILURE has occured,then only renal transplant is the answer.
All diabetic Nephropathy patients should be jointly managed by diabetologist and nephrologist.
Answered: Thu, 19 Jul 2012
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