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Taking Insulin, Glynase For Diabetese. Increased Creatinine And Blood Urea. Medicine?
I am diabetic with low dosage of human mixtard insulin inj.(10 U-8U0,GLYNASE 1/2-1/2 and hypertensive with telsatran 40 and easm 5 daily .Taking ALFAD3=SHELCAL.SUGAR and BP under control.Creatinin was 1.6 for long with blood urea under 40 for long..recently creatinin increased to 2.0 and blood urea 55.uric acid crystals seen in urine and blood uric acid is 9.0..what medication should I take in addition to contol this quickly,,No swelling anywhere,no gout visually seen .
posted on
Sat, 1 Jun 2013
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Sat, 1 Jun 2013
Answered on
Mon, 3 Jun 2013
Last reviewed on
Hi user
Thanks for posting your query o Healthcare Magic
You are developing diabetic nephropathy which is a long term complication of diabetes.
To avoid kidney dysfunction following should be done.
1. Round the clock sugar control witn target HbA1c
2. Use of ACE inbitors or ARB drugs (you are alredy on Telmisartan)
3. Avoid nephrotoxic agents like antibiotic amikacin, radiocontrast dyes
For further evaluation get USG kidney, urinary blader and ureter. This not only gives you information regarding structural changes of kidney but can rule other causes of raised creatinine for example stone, some time it happen raised creatinine in the presence of diabetes take as diabetic nephropathy and later on turn out obstructive uropathy which can be corrected by releasing obstruction
Hope this information may be helpful to you. Takecare
Thanks for posting your query o Healthcare Magic
You are developing diabetic nephropathy which is a long term complication of diabetes.
To avoid kidney dysfunction following should be done.
1. Round the clock sugar control witn target HbA1c
2. Use of ACE inbitors or ARB drugs (you are alredy on Telmisartan)
3. Avoid nephrotoxic agents like antibiotic amikacin, radiocontrast dyes
For further evaluation get USG kidney, urinary blader and ureter. This not only gives you information regarding structural changes of kidney but can rule other causes of raised creatinine for example stone, some time it happen raised creatinine in the presence of diabetes take as diabetic nephropathy and later on turn out obstructive uropathy which can be corrected by releasing obstruction
Hope this information may be helpful to you. Takecare
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