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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suffer from kidney disease and diabetes. On dialysis. Precautions?

Hi, my father's age is 71, 25 years diabetic history, insulin (Lantus) 17 units before dinner, weight is 65 kg, height is 5'7", Kidney disease stage IV (Creatinine 2.50), Water intake 800ml per day. Two days old results: Urea (S): 74 mg/dl; Creatinine: 2.50. Please advice how I can make him safe from DIALYSIS (Stage V)?
Wed, 22 May 2013
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Critical Care Specialist 's  Response
Hello
Thanks for posting your query
Prevention of progression of diabetic nephropathy first and for most intervention is Sugar contol round the clock
Keep your HbA1C Avoid nephrotoxic agents like antibiotic amikacin gentamicin, pain killer voveran, dye used in radiological studies
Water intake should be adequate if heart function is normal should not be too less
Some medication delay progression of diabetic nephropathy like ACE inhibitor (Remipril-Cardace)
Lastly be in regular follow up and get kidney function and electrolyte test regularly
Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.
Dr Jeetendra Sharma
Senior Consultant Critical care Medicine
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