Answered on May 26, 2023

Question by Anil - May 18, 2023

Greetings Mam, My sister 58 , suffering from urine infection . She is yet to under go diabetes test Is urine infection related to diabetes as well

Ans: Diabetes increases the risk of urine infection. If diabetes is there, sugars has to be strictly controlled.

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Answered on May 26, 2023

Question by Ashish - May 25, 2023

Hello Sir. My mother is 74 years of age. She is overall fit. But every time we get her blood test screenig the BUN levels appear high. Even recent report had BUN value of 23 Mg/DL. Creatinine results are perfect. Should we worry

Ans: It seems to be marginally elevated. Please keep a close watch. Talk to your treating physician when you visit next time.

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Answered on May 26, 2023

Asked by Anonymous - May 22, 2023

How much is creatinine value cause of concern above specified range of 1.1.Does diuretic use increase creatinine in blood ? what foods decrease and what food or medicine increase creatinine value

Ans: For females, 1.1 is borderline. Diuretics can increase the creatinine, but if it is absolutely required, it should be used. Protein rich food especially non-veg food (red meat), can increase the creatinine especially in patient with pre-existing kidney disease.

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Answered on May 20, 2023

Asked by Anonymous - May 18, 2023

how to reduce creatine levels

Ans: If you have acute kidney injury, it is treatable and can reduce the creatinine. If it is chronic kidney disease, there is no curative treatment for that.

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Answered on May 20, 2023

Question by ALOKEMOY - May 19, 2023

Dear Sir, In recently done (17.5.23) urine R/M test there is presence of Calcium Oxalate Crystals and KFT is showing Chloride as 108.6, Sodium 146, Creatinine 1.07.and Albumin in LFT 4.73, Eosinophils 6.3. Previously I was not having any such findings of Calcium Oxalate Crystals. In CBC few giant platelets are seen. I was detected PAN Gastritis in October 2022 in upper GI endoscopy but my CT Entrography and USG were normal. Before my test on 17.5.23 I was on medication for Gastritis. I was also experiencing upper abdominal occasional cramp since Aug 2022 but 15-17 days before the test on 17.5.23 the cramp symptom vanished. Please advise.

Ans: Hi. Just consume more fluids. Reduced fluid intake can cause crystallisation in urine. Repeat it after two weeks. If you have pain abdomen, get USG abdomen.

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Answered on May 15, 2023

Asked by Anonymous - May 15, 2023

Dear Sir, My mother's creatinine is around 2.2 and she is on Lasix. She had a fall in the house few days ago but no fracture. She needs painkiller but ultraset is causing constipation. Any alternative pain killer, that you can recommend? Thanks in advance...

Ans: Only T. Dolo 650 mg three times can be taken along with Ultracet.

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Answered on Apr 29, 2023

Asked by Anonymous - Apr 25, 2023

I am 75 years.my ceatininine is 1.7 and GFR is 43.this is almost same for last 3 years..what are the suggestions for this.

Ans: Hi. You have chronic kidney disease. There is no specific curative treatment for the same. If the creatinine is remaining stable, that is a good thing. Continue medicines as you are taking now and have regular follow up with the treating doctor.

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Answered on Apr 25, 2023

Question by Yogesh - Apr 24, 2023

I am 51 year old , since last 1 year I could see foam in my urine . Do I need to consult a doctor?

Ans: Hi. You need to get urine routine, urine albumin-creatinine ratio (Urine ACR) and serum creatinine. If these tests are abnormal, meet a Nephrologist.

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Answered on Apr 25, 2023

Question by DILIP - Apr 19, 2023

I AM 52 YEARS AGE. MY CREATININE IS 8.00. PLEASE SUGGEST ME.

Ans: Hi. It indicates severe form of kidney disease with the function being approximately 10%. You need detailed evaluation to know the cause of kidney disease. Two types are there. One is acute kidney injury, a temporary form of injury and other is chronic kidney disease, which is a permanent damage to the kidney. There is treatment for acute kidney injury but no treatment options are available for chronic kidney disease. Please get these things evaluated to determine the treatment plan and future options.

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Answered on Apr 19, 2023

Question by Nanda - Apr 18, 2023

Dear Sir, I am 48 Yrs Male, Having BP from last 10 years and taking medicine daily morning, now BP always 150/100 and I also have BPH, I am regularly doing Morning walk and Yoga, Please suggest Sir

Ans: Hi. You are having early onset hypertension. Try to rule out any secondary causes of hypertension, especially kidney disease. You need to do Urine routine, Urine PCR and creatinine to rule out any kidney disease. Also you should do renal artery doppler to rule out any issues to the blood vessels supplying the kidneys. Once kidney disease is ruled out, you need to consult a physician and adjust your BP medicines. Continue with your walk and yoga. If obese, try to reduce weight. Reduce the salt intake.

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Answered on Apr 18, 2023

Question by Rajesh - Apr 03, 2023

i am 52,taking medicines for Hypertension and sugar twice daily , go to bed at around 10.00pm . gets up3 to 4 times for urination during night as a result the quality of sleep is very poor. what to do. my bp is 140/80 & Fasting sugar is 160. is this because of medicines or because of overactive bladder ? Rajesh kumar

Ans: Less likely to be due to overactive bladder at this age. Either it is due to uncontrolled sugars or you need to get USG abdomen to look for prostatic enlargement.

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Answered on Apr 13, 2023

Asked by Anonymous - Apr 09, 2023

Hi i am 50 years old have undergone robotic partial nephrectomy in 2021 .i have been advised to take lot of fluids . since its the month of Ramzan i just wanted to know if i can keep fasting as in our fasting we can not take anything for 15 hours

Ans: Can do fasting. Drink water at other times.

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Answered on Apr 13, 2023

Question by pravin - Apr 10, 2023

Sir i have frequent urination since from 31 year . i had done blood test but it was showing normal reading .Now iam 49 years old and i have done blood test and found fasting 125mg and post pandril 166 .The doctor has said to me iam prediabtic what are the alternative remedies to bring myself in normal routine.

Ans: Low carbohydrate diet - sit with a dietician and design it. Regular exercise for at least 30 minutes daily. Weight reduction if you are obese. Get HbA1c levels.

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Answered on Mar 30, 2023

Question by deepika - Mar 29, 2023

Why is the world not able to produce alternatives to Dialysis or Transplant

Ans: Lot of research is going on in this field for decades. Artificial kidney is in the pipeline. We are expecting it to produce an alternative to dialysis or transplant.

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Answered on Mar 29, 2023

Asked by Anonymous - Mar 29, 2023

Hi Doctor, I am 41 now. I am taking one tablet of Telmikind-CT40 daily in morning from past 8 years now. Also I am taking Triglynase-1 for diabetes for past 9 months. Currently my BP hovers at 120/80 to 130/90 whenever measured in morning. Though my sugar levels never comes good, mostly 135-180 in fasting. But Random for after breakfast also it is 150-200 only at most times despite taking the medication. The issue is I feel tired very much, sleep is inconsistent. I am a drinker (180 - 240 ml/night) this sometimes help me sleep. I think too much on each issue (my professional life has very little to no stress, but personal life has some stress elements). Please help me get out of this tiredness (weight-67 Kgs. / Height 5.6 in) (Diet - Non-veg (chicken or egg 4-5 times a week)) (Physical Activity/exercise - none)

Ans: Hi. You have both diabetes and hypertension at young age. I would suggest you to undergo detailed medical check up including kidney function test to know the cause of tiredness. Drinking daily with such large quantities is not advisable. Kindly refrain from that and make it occasional. Keeping the sugars and BP under strict control is of utmost importance.

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Answered on Mar 29, 2023

Question by Rajiv - Mar 28, 2023

Dr Saheb My Mother is 80, with grace of god her all organs are working satisfactory. Her kidneys are working satisfactory but displaced, this was noticed 25 years ago in scanning. From many years she had issue of loose motions, in a day generally she go three to four times. recently her BP is also increased and her upper reading ranges between 138 to 160 and lower one from 75 to 82. We had started giving 5mg tablet in night after consulting medicine doctor Kindly guide

Ans: Hi. Please consult a physician for the above mentioned complaints. It is not related to the displaced kidneys.

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Answered on Mar 27, 2023

Question by V - Mar 27, 2023

I am 67 yrs old. My BP is 140/80. Should I take medicines?

Ans: Not required. Just do regular exercise, reduce weight if obese and reduce the salt intake. Keep monitoring your blood pressure on regular basis.

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Answered on Mar 27, 2023

Question by Venkatesh - Mar 27, 2023

My mother is 93. Her BP is hovering around 170/90, though she is on BP medications like metaprolal 25 and telma-40. Any suggestions please.

Ans: Hi. You can increase the dose of Metoprolol to two times. But it is better to consult a physician to assess your heart rate before increasing the dose of any medication.

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Answered on Mar 27, 2023

Question by satish - Mar 22, 2023

I am 73 old male. My problem is frequent urination. My prostate is not enlarged. What could be the other reason. i have already ruled out infection by taking antibiotics recommended by my doctor. I am obese with big belly. I also have umbilical hernia but this is dormant for last 5 years.

Ans: Hi. Please consult an Urologist for further evaluation. He would assess your lower urinary tract by doing certain tests and determine the exact diagnosis. Treatment would be decided after that.

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Answered on Mar 27, 2023

Question by s - Mar 20, 2023

what is the treatment /preventive measure for enlarged prostate(38CM)

Ans: Hi. There are certain medicines for the same. Please consult an Urologist and take his advice before taking any medicines. Also get serum PSA levels done before seeing an Urologist.

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Answered on Mar 25, 2023

Asked by Anonymous - Mar 16, 2023

my father is 75 years old and his creatinine level is 2.8 ( previously it was 3) He also takes medicines for BP and insulin for blood glucose. His Hbac1 is around 7 and BP is usually around 150/85 levels. He is very discipline in taking medicines and regular checkups. Is there any way his creatinine levels can be lowered to normal . Also is eating mangoes bad for his kidney problems? please suggest

Ans: Hi. It looks like chronic kidney disease which is an irreversible condition and usually progress over a period of time. Please continue the medicines and follow the advise of the doctor. For chronic kidney disease, there is no specific medicines which can lower the creatinine.
Eating mangoes doesn't affect the kidneys directly. But we need to worry about the elevated potassium levels during mango season which can be detrimental to the heart.

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Answered on Mar 25, 2023

Question by AGNELO - Mar 17, 2023

Sir, Iam 49 years old my present BP is 130/90 some times and 140/100 some times, my present cretine leve is 1.6 to 1.7, how to reduce my cretine is any special medicne for this to reduce pls advice. I am going urine normal and my dopping is also normal, protine is normal. pls advice.

Ans: Hi. I don't think, high blood pressure is the cause for raised creatinine. You need to meet a nephrologist and try to ascertain the cause. Sometimes kidney biopsy also may be required to know the cause. That will give more clarity on the extent of kidney damage and also help us to make the treatment plan.

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Answered on Mar 25, 2023

Question by KASHINATH - Mar 18, 2023

I was diagnosed with an enlarged prostate. 29.6 cc.Was taking medication prescribed by doctor(Silodol). How long do i need to take this expensive medication? After one month i feel an improvement in symptom of frequent urination.

Ans: Hi. This medicine has to be continued for a long time. If it is too expensive, you can discuss with your Urologist to prescribe less expensive medicine but equally effective as well.

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Answered on Mar 25, 2023

Question by Shailja - Mar 19, 2023

I do regular workout and take whey protein daily. Recently I got myself tested and my Bun/creatine ratio is 25 (high). Could you please tell what could be the reasons behind this increase? And how can I bring it back to normal?

Ans: Hi. Stop that protein supplementation. Can you repeat blood urea, serum creatinine and urine routine after good hydration for two weeks.

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Answered on Mar 25, 2023

Asked by Anonymous - Mar 21, 2023

Sir, I am 46 years old. My creatine level is 12.5. I am on dialysis since 2 years. Weekly 3 times. I have registered for transplant in SDM, Hubli since 1 year. there is no progress in the waiting list for kidney transplant. Which hospital is best for transplant in Bangalore. I would like to shift my transplant registration to bangalore. please advice.

Ans: Hi. You seems to be young. Continuing on dialysis for a long duration waiting for the transplant is not a good idea. We need to explore the possibility of living donor kidney transplantation. We can also consider ABO incompatible transplantation. Many centres in Bangalore are doing kidney transplantation. I am working in Aster RV hospital, JP Nagar, Bangalore. It is a high volume transplant centre. If want, you can come with all details so that we can explore the possibility of living donor kidney transplantation.

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Answered on Mar 25, 2023

Question by M - Mar 25, 2023

Dear Sir I had malaria and Dr have prescribed me Azithromycin and lumax along with calpol. I got recovered but from the day when I started taking this medicine I have noticed spit like substance in the urine and it's have been months still there is spit like substance in the urine.

Ans: The question is not clear. I presume that, there is foam in the urine. You can get urine routine to look for any protein leak. If it is there it requires further evaluation.

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Answered on Mar 17, 2023

Question by BRAJESH - Mar 17, 2023

HELLO SIR JI before 18 month to till now i am having 5 mm stone and i am used some tablate and stone gone out by ureters. and till now i am having lot of issue in my stomach and gas issue please sugeetion to me what i will do

Ans: If stone has already gone and if there is no residual stone, the symptoms what you are mentioning is not stone related. It looks like gastritis induced. Can consult a local physician and take tablets for 10 days. It should settle down.

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Answered on Mar 16, 2023

Question by Nirmal - Mar 16, 2023

Sir, Thanks for your genuine advice, One thing I want to know why my body weight is reduced. Pl suggest could I gain my weight if there is no health issue.

Ans: Maintain the BMI around 24.

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Answered on Mar 16, 2023

Question by Nirmal - Mar 16, 2023

I am a 43 year old Male , my creatinine is 2.14, it was happened due to high BP but my BP is now normal and my weight is reduced from 65 to 50 almost 15 kg after that, i took medicine of Alpha Ketoanalogue tablets for Kidney and sometime increased uric acid, Also hv tthyrod, maintained low protein diet. I want to know can it be possible to cure my kidney function as before. pl suggest

Ans: Hi, Your creatinine is high at a relatively young age. We need to find the cause. Probably we need to do the kidney biopsy if it is feasible. That will tell you the extent of kidney damage and if it is temporary or permanent. If it is permanent damage, usually the kidney disease progress over a period of time. You need to consult a nephrologist on regular basis and follow his advice to retard the progression of kidney disease.

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Answered on Mar 16, 2023

Question by AGNELO - Mar 14, 2023

I AM 49 YEARS OLD MAN, presently Iam having my creatine as 1.6 and 1.7 my doctor is saying due to high BP it was coming, and your kidney is funtioning 50% due to high BP, is it true and i want to know whether it is possible to increase my kidney's funtion and how. Please give me idea. and i am consulting Nephrologist once in 3 months renal artery doppler is normal he is saying, and scan also done they gave tablets to reduce BP, is it possibe to develop my kidney funtion if so how please advice. by AGNELO VIJAYAN.

Ans: I have already answered this query on March 10.

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Answered on Mar 16, 2023

Asked by Anonymous - Mar 15, 2023

I am 39 years old and suffering from kidney problem since 6 months. My cretanine level was around 15 at one point of time. But due to frequent dialysis since last month, it has come down within controllable level. Now, the doctors are pressing for kidney transplant as long term remedy to the problem. We are very puzzled as each doctor comes up with their own advise and their is lack of consistency among them. We have registered for a cadavar transpant too in apollo hospital but we are unsure when our number will come up. kindly advise.

Ans: Only two options are there in patients with end stage kidney disease which you are suffering from. Either dialysis or kidney transplantation. Considering your age, Kidney transplantation is the treatment of choice. Even though both modalities have its pros and cons, transplantation is better as it offers better quality of life, better survival chances and better financial benefits on a long run. It is always better to consider living donor kidney transplantation. Cadaver should be considered only if there is no living donor. Cadaver transplantation might take a long time and is uncertain. I would suggest you to explore living donations as much as possible. Are you in Apollo Bangalore.

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Answered on Mar 15, 2023

Question by Nirmal - Mar 15, 2023

Sir I hv a kidney problems. i want to discuss about that

Ans: Hi, Please narrate your problem. Then only I can discuss.

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Answered on Mar 15, 2023

Question by Manoj - Mar 14, 2023

Recently I underwent pcnl surgeries for stone removal in both kidneys. Though I am ok now I would like to know what are the precautions that should be followed now to avoid any future problems

Ans: Hi, first and foremost, drink plenty of fluids, at least 3 litres per day. If you have done stone analysis, based on the stone composition, you can sit with the dietitian and work on your diet plan. Take the help of a dietitian to follow low purine diet.

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Answered on Mar 14, 2023

Question by ASHWANI - Mar 13, 2023

I am 68 years old man, leakage & frequency in urination are very common issues these days, prostate size is too high viz 68. PSA is within range & slight pain in lower right side of abdomen always remains. Please advise

Ans: Please consult an urologist and start medicines for prostate enlargement. You need to undergo Uroflowmetry to know the flow of urine. If there is no relief with medications, surgical options may have to be considered.

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Answered on Mar 13, 2023

Question by Amit - Mar 03, 2023

How successful is Kidney transplant in india, when the donor is live and a relative

Ans: 95 to 97% success rate at the end of one year.

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Answered on Mar 13, 2023

Question by AGNELO - Mar 10, 2023

I AM 49 YEARS OLD MAN, preently Iam having my creatine as 1.6 and 1.7 my doctor is saying due to high BP it was coming, and your kidney is funtioning 50% due to high BP, is it true and i want to know whether it is possible to increase my kidney's funtion and how. Please give me idea. by AGNELO VIJAYAN.

Ans: Hi. I would suggest you to do Urine routine and 24 hour urinary protein. It is advised to consult a Nephrologist nearby. USG abdomen and renal artery doppler is required. We need to rule out kidney causes for high BP.
Please do these tests and consult a Nephrologist at the earliest.

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Answered on Mar 13, 2023

Question by Arvind - Mar 10, 2023

Since last one month or so I am experiencing slow flow of urine with burning sensation at times. Initially the urine will not come out only but after a while urine starts flowing slowly. I have also to exert pressure to empty my bladder. Is it the problem associated with age (78 years, male) and related to prostate gland ? Please suggest the treatment, medication and cure.

Ans: Hi. It is likely to be due to the enlargement of the prostate gland, which is the most common cause for symptoms at this age. I would suggest you to get USG abdomen to determine the prostate size. Also get PSA (Prostate specific antigen) test in the blood. After these two reports, consult an Urologist who would prescribe medicines. In majority of the cases, you will get symptomatic relief with medications.

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Answered on Mar 02, 2023

Asked by Anonymous - Feb 25, 2023

I have a stone of 11 mm in my right kidney. Please suggest appropriate treatment. Presently it is causing no pain or discomfort. My age is 66 Male

Ans: It depends on the site of the stone. If it is in the upper or lower ureter. You better need to consult a Urologist.

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Answered on Mar 02, 2023

Question by Rahul - Mar 02, 2023

I am detected thyriod with TSH @6.1 levels . Doctor had not advised any medication .Still suffering from symptoms like Chillness , Dullness & constipation . Please advise ?

Ans: Need to consult either a Physician or endocrinologist.

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Answered on Feb 27, 2023

Question by SHAILESH - Jan 09, 2023

My wife is suffering from IBS-Irritable Bowel Syndrome....So what prescription drugs do you recommend for my wife, and why? What if they don't work? What about side effects?

Ans: Please consult gastroenterologist. I deal with the kidney.

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Answered on Feb 27, 2023

Question by Waseem - Feb 24, 2023

My son age 10 always complain that after urination sometimes only his 1 or 2 drop of urine got leaked. His urine examination is normal

Ans: I don't think, you should worry about that since urine routine is normal. However need evaluation if there is frequency of urination, still bedwetting in the night or having frequent urination in the night.

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Answered on Feb 27, 2023

Question by Anirban - Feb 25, 2023

2 months back I had undergone radical nephrectomy after i was diagnosed with a malignant cyst on my right kidney. My job requires me to travel to places and host parties for my team. Is it safe to start consuming alcohol in small quantities now

Ans: Occasional consumption of alcohol in small amounts should be fine. Keep yourself well hydrated. Keep monitoring your creatinine and electrolytes periodically. Practise healthy diet, exercise regularly, reduce red meat, drink sufficient fluids, quit smoking, avoid pain-killers and alternative medicines to keep your single kidney healthy.

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Answered on Feb 27, 2023

Question by Ashok - Feb 26, 2023

In 2017 I was operated for Prostate. Later it was found that Cancer Traces were there. I got treatment at Max Hospital and got Laser treatment and was cured. But since then I have to go for Urination four times in Night. I can not urinate sitting on Pot and have to bend on my knees. Urine pour slowly. Any remedy to reduce four times to one or two times?

Ans: You need to do uroflowmetry to see if there is any narrowing of urethral passage. If it is there, you might need dilatation. However you need to consult your Urologist who will guide you to know the exact reason. I am a Nephrologist.

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Answered on Feb 27, 2023

Question by Mounesh - Feb 27, 2023

Hi Komal ji. I am 61 years and diabetic for the past 12 years. My HbA1C today is 6.4 and it was 5.1 in November 2022. Fasting and PP is 90 and 84 respectively. I am on medication with Janumet 50/500 twice a day morning and night and Cardace 2.5 mg in the morning for BP. My weight is 60 kgs and height is 167cm. My diet includes millets, vegetables, fruits, dry fruits, chese, butter, ghee and cold pressed oils. Fully stopped eating maida, white rice and sugar. Please advice (1) how to bring HbA1c within 4.6 to 5.5. (2) If HbA1c is brought within 4.6 to 5.5, can I stop taking diabetes medicines ?. Thanks & Regards.

Ans: You are already on maximum diet. Exercise of 30 to 45 minutes everyday for at least 5 days in a week would help to control the HBA1c well. Once your sugar levels are consistently in the normal range, you can probably reduce the tablet to once daily. Possibility of completely stopping the medicine is less. It is a very stiff target of keeping HbA1c of 4.6 to 5.5, which is difficult to achieve. Keeping it less than 6.4 is fair enough.

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Answered on Feb 25, 2023

Question by anil - Feb 24, 2023

DEAR SIR, Iam 53 yr old my weight around 86kg ans height 166cms sep 22 I start exercise and loose weight 10kg I am following Diet control no our side food. Tea without sugar I have Hyper tension and predibetic so should i continue exercise and diet control Pl suggest

Ans: Dear Mr Anil. I am a Nephrologist and deals with the kidney. You have 3 risk factors which can affect the kidneys; 1. Obesity, 2. Hypertension, 3. Pre-diabetes.
Definitely you need to reduce your weight. Otherwise it might affect the kidneys in the future.
Have a screening for kidney disease: Do simple tests like creatinine and urine routine, which will give you an idea about your kidney health.
If kidneys are fine, you can increase the protein intake and reduce the carbohydrate intake along with the exercise so that you can reduce your weight.
Please consult a dietitian and make a proper diet plan.

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