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?
Hi,
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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.
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Answered byDr. Shazli Naseer
Medically reviewed byDr. K. Shobana
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