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60-Year-Old with Consistently Elevated Creatinine Levels: What's the Cause?

Dr Chandrakant

Dr Chandrakant Lahariya  |159 Answers  |Ask -

Diabetologist, Consultant Physician, Vaccine Expert - Answered on Oct 30, 2024

Dr Chandrakant Lahariya is a diabetologist, an infectious diseases and public health specialist and a vaccine expert.
The Delhi-based senior physician also has over 20 years of experience in hypertension, thyroid disorders and respiratory illnesses.
An expert on common health issues and the preventive aspects of medicine, he has co-authored the book, Till We Win: India's Fight Against The Covid-19 Pandemic.
Dr Chandrakant completed his MBBS from the Maulana Azad Medical College, New Delhi, and his MD from the Lady Hardinge Medical College, New Delhi.
He has a DNB (National Board of Examination, 2009) certification and a diploma in vaccinology from Institut Pasteur, Paris.... more
Tapas Question by Tapas on Oct 25, 2024Hindi
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My creatinine level always remains at 1.1 though my other parameters remain normal including urea remain at 26.0 . I am 60 years old and on following medication Gibtulio, tenligliptin, pioglitazone, Foxstat 40, Tenata plus, Rabeprazole, Euthyrox 150 and Diavit plus. What might be the cause and what investigation you suggest.

Ans: I think it would be useful if you get comprehensive medical check up done specially all key blood investigations such as Liver function tests, fasting lipid profile , kidney function test. Specially in context of high creatinine and pre-existing diabetes (which I am not aware of the duration), it is likely that uncontrolled sugar is causing some kidney damage. Please get Urine Albumin Creatinine Ratio also.

you have multiple antidiabetic medicines in your prescription but metformin is missing from your list of medicines. Is there any specific reason you are not on metformin, the very first line of anti diabetic drugs.
Not sure your uric acid is high still, if not, stop Foxstat 40.

There are two multivitamins: Tenata plus and Diavit plus. One should be enough and you can stop the other one.

Best

Dr Chandrakant Lahariya
Centre for Health: The Specialty Practice
Safdarjung Enclave, New Delhi
DISCLAIMER: The answer provided by rediffGURUS is for informational and general awareness purposes only. It is not a substitute for professional medical diagnosis or treatment.
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