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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Fluctuating Creatine While On Insulin

hello doctor, my dad is diagnosed as diabetic nephropathy in 2014, since then he is on insulin, his creatine is flactuating some time less and some time more. now it is 6.5 and he is hypertensive too. he is doing regularly yoga and brisk walking along with strict diet (no protien less salt and other stuffs which has to be controlled) he dont has swelling on his feet. doctor has now prescribed for ketosteril and synprotik. and he is even taking injections to increase his HB. could you please suggest whatelse is needed and what would be the further things.
Tue, 2 May 2023
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General & Family Physician 's  Response
Hi,

Diabetic nephropathy is a complication of diabetes that affects the kidneys, causing damage to their ability to filter waste products from the blood. Fluctuating creatinine levels can be a sign of worsening kidney function. It is important to monitor his blood sugar and blood pressure levels regularly, as well as his kidney function through urine and blood tests.

In addition to his current medication regimen, lifestyle changes such as maintaining a healthy diet low in salt and protein, regular exercise, and weight management can also help manage diabetes and prevent further kidney damage.

If his creatinine levels continue to fluctuate, his doctor may consider adjusting his medication regimen or referring him to a nephrologist (kidney specialist) for further evaluation and management. It is important to follow his doctor's recommendations closely and attend regular follow-up appointments.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Priyanka, General & Family Physician
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Suggest Treatment For Fluctuating Creatine While On Insulin

Hi, Diabetic nephropathy is a complication of diabetes that affects the kidneys, causing damage to their ability to filter waste products from the blood. Fluctuating creatinine levels can be a sign of worsening kidney function. It is important to monitor his blood sugar and blood pressure levels regularly, as well as his kidney function through urine and blood tests. In addition to his current medication regimen, lifestyle changes such as maintaining a healthy diet low in salt and protein, regular exercise, and weight management can also help manage diabetes and prevent further kidney damage. If his creatinine levels continue to fluctuate, his doctor may consider adjusting his medication regimen or referring him to a nephrologist (kidney specialist) for further evaluation and management. It is important to follow his doctor s recommendations closely and attend regular follow-up appointments. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Priyanka, General & Family Physician