What Causes Renal Cortical Scarring While Having Diabetes?

Posted on Wed, 21 Dec 2016

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Wed, 21 Dec 2016 Answered on

Wed, 11 Jan 2017 Last reviewed on

Question : A 60 year old gentleman with diabetes on Insulin , but high levels of HBa1 c 7.5 and Renal cortical scarring on USG , Kindly opine on complications of diabetes ,chances renal involvement and impairment in near future .

Answered by Dr. Ravi Bansal (23 hours later)

Brief Answer:
not much evidence of renal disease

Detailed Answer:

Hi,

your reports show a normal serum creatinine which is a marker of kidney disease . So you can rest assured nothing is going to happen to the kidneys very soon.

Diabetes does affect the kidneys in 50% patients.

1. look out for proteinuria.- you should do spot urine protein creatinine ratio test.

2. serum creatinine level every 3 month- now it is 0.87 as per report sent is absolutely normal

3. cortical kidney scars can be -- due to past urine infections or due to decrease in kidney blood supply

4. sugar control is very important- at present sugars are high

try to-

1. keep bp close to 130/80

2. keep pre meal sugars at 100-120 and post meal 2 hour sugers at 150-170

3. this is true for all 3 meals of the day.

4. identify if you have urine infection and treat it - do urine routine every 3 month when you do creatinine.

5. avoid pain killers and unwarranted ' Desi" medications

as far as 10 yr outlook of kidney is concerned it is good.

if you are under regular check-up nothing will happen

best wishes

Note: For further queries related to kidney problems and comprehensive renal care, talk to a Nephrologist. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Remy Koshy