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

Answered by
Dr. Shazli Naseer
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Nov 28, 2018

Hello doctor,

I am a male, 68 years old, diabetic, with chronic kidney disease, and creatinine level 5.96. What diet should be given to prevent dialysis and control creatinine level?

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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.


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