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Please suggest diet to prevent dialysis and control creatinine level in a diabetic.

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Patient's Query

Hello doctor,

I am a 68 year old male having diabetes with chronic kidney disease, and I have a creatinine level 5.96 mg/dL. What diet should be given to prevent dialysis and control creatinine level?
Answered by Dr. Shazli Naseer

Education:

MD

Professional Bio:

Dr. Shazli Naseer is a certified Diabetologist and Family Physician with expertise in Lifestyle Medicine. She specializes in diabetes management, preventive health, and comprehensive medical care for patients of all ages. With a patient-centered approach, she emphasizes long-term wellness and disease prevention, ensuring her patients receive holistic guidance tailored to their individual health needs.

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Hi,

Welcome to icliniq.com.

Reviewing the laboratory results (attachment removed to protect patient identity), the patient has already developed significant damage, creatinine is too high and has already secondary hyperparathyroidism. Type 2 diabetes with renal complication. Dialysis is unavoidable, at this stage. To control diabetes and further renal damage, must avoid Metformin and must avoid a high dose of DD-4 or extended release Sulfonylurea. A safe option is low dose DD-4 or Insulin low dose weight adjusted. Keep diet in moderation for protein, does not need high protein diet and must follow up with nephrology.

Medically reviewed by Dr. K. Shobana
Published At January 4, 2019
Reviewed At May 30, 2025

Education:

MD

Professional Bio:

Dr. Shazli Naseer is a certified Diabetologist and Family Physician with expertise in Lifestyle Medicine. She specializes in diabetes management, preventive health, and comprehensive medical care for patients of all ages. With a patient-centered approach, she emphasizes long-term wellness and disease prevention, ensuring her patients receive holistic guidance tailored to their individual health needs.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Education:

BDS

Professional Bio:

Dr. K. Shobana is a Dental Surgeon specializing in oral health and dental care. She is skilled in preventive dentistry and provides oral hygiene education. She can do restorative treatments such as fillings and crowns. She can handle periodontal problems such as gum diseases and periodontitis. She can do root canal treatment.

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Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Shazli Naseer
Dr. Shazli Naseer

Diabetology

Education:

MD

Professional Bio:

Dr. Shazli Naseer is a certified Diabetologist and Family Physician with expertise in Lifestyle Medicine. She specializes in diabetes management, preventive health, and comprehensive medical care for patients of all ages. With a patient-centered approach, she emphasizes long-term wellness and disease prevention, ensuring her patients receive holistic guidance tailored to their individual health needs.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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