Hi ,Iam 69 year old female having history of Diabetes since last 30 year which is controlled on insulin. My creatinine level is 6.30 since last six months which is fluctuating between 3.80 to 6.30 but have no kidney problem except UTI which was successfully removed.Urine culture report is also normal. My urine flow is perfectly normal.How to control my creatinine level ? please advise

Ans: Hello. It would be best to visit a nephrologist at least once a year. Once the kidney function has been affected by either long standing diabetes or a recurrent UTI or some other issue, there are other factors like Hb, potassium, protein levels that need to be managed also other than just creatinine level. Urine flow may not get affected till very late. First of all, you must rule out any structural abnormalities in the urinary tract. You should get a USG KUB and see a urologist. Then if everything is normal with your prostate and urinary tract, you should see the nephrologist. In general, to prevent further kidney damage you should keep your BP under control, avoid taking any pain killer type medicines, avoid antibiotics without proper prescriptions, avoid fad diets and excessive salt. All the best!