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10 Best Diabetes Renal Failure doctors in Sector 117

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Dr. Nishant Singh Diabetes Renal Failure

Dr. Nishant Singh

Diabetologist

18 years of experience

Nidaan ClinicSector 120, Noida + 1 more

Available Today

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Questions & Answers on "Diabetes Renal Failure" (133)

My mother is a chronic kidney disease patient, with creatinine levels fluctuating between 3 and 5.5. Her feet swell if she consumes raw salt directly, but the swelling only occurs in one foot at a time. Her hemoglobin levels are stable. Occasionally, she experiences electrolyte imbalances, which happen about once a year. She also faces recurrent urinary tract infections (UTIs). Her blood pressure is 130/85, but during winter, it can rise to 190/100, although this happens for a maximum of 1-2 days.

Female | 55

Your mother's creatinine levels indicate that her kidney operation needs to be carefully managed. If feet are swollen, especially after salt intake, say 'fluid retention', which can be seen in kidney disease, is the main problem. Hemoglobin, which varies, is a good sign, but her history of urinary infections and occasional electrolyte issues necessitates deeper examination. The temporary increases in blood pressure might be caused by stress or other environmental factors. It is essential to watch her diet, reduce salt intake, and hydrate properly. I suggest scheduling regular check-ups with a  nephrologist to explain her condition and regulate medication with a healthcare professional who can provide customized care

Answered on 14th Dec '24

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Hello (apologies for long post) Caucasian, Male, 60, 6'0", 260 lbs. Meds: Lisinopril 40 mg, Metoprolol 50 mg x2 a day, Amlodipine 10 mg, Furosemide 20 mg, Glimepiride 1 mg, Janumet 50-1000 x 2, Atorvastatin 10 mg...NO drink/smoke or rec. drugs. Issue: After a lot of work, have lost 40+ lbs in last 5-6 years...blood pressure 130/85, A1c 7.0 ...here is the issue. In March of 2023, after years of my GFR staying constant in mid/upper 40's, (not great, but consistent), it was lower at 41. Dr wanted to check it again in 1 month. I very strictly controlled my diet/sugar/protein/soda/increase water intake, etc...take meds religiously...GFR dropped to 35. Dr sent me to a nephrologist, but before the scheduled appointment (which was 6 weeks later), he took me off of Triamterene...said it can be hard on kidneys. When the nephrologist sent me for labs, GFR went UP to 50. Another test 2 weeks later and GFR went up to 55. Nephrologist says that removing Triamterene from regimen played NO part in GFR rising...put me on Spironolactone due to edema returning . 6 months later at next check-up, all numbers and BP continue to be good, but GFR back down to 40. Is it possible that the diuretics have been hard on my kidneys and causing the lower GFR. I understand with years of HBP/diabetes, the GFR is not ideal, but I'd like to keep it in the 50's if possible. Family doctor took me off the Spironolactone and put me on Lasix in March of 2024...bloodwork coming up in a couple of weeks. Family doctor seems to think the diuretics have contributed to lower GFR...Nephrologist says they have nothing to do with my fluctuating GFR numbers... seeking input from anyone here with knowledge/experience...appreciate any insights re: affect of diuretics on GFR...alternatives to traditional diuretics, etc. I've read loop diuretics like Lasix best for kidney issues.

Male | 60

Diuretics such as Triamterene may have been responsible for your kidney problems, which in turn may have resulted in the increase or decrease of your GFR. The switch from you to Lasix by your family doctor is a good decision as it is a diuretic that may be less harsh on the kidneys. Continue to collaborate with a nephrologist to discover the optimal treatment for you.

Answered on 22nd Aug '24

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Answered on 31st Mar '25

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Answered on 8th Mar '25

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I've test kidney function test all the parameters are in normal range except uric acid that is 7.9 mg/dl, and I want to take creatine supplement should i take it. (And before KFT test I had have ate fish and high purine food).

Male | 20

Your UA climb was up to 7.9mg/dl and you are considering using creatine. With higher UA comes greater chances for gout, a condition marked by pain and swelling in the joints. You should not take any creatine supplement right now while still eating fish and other high-purine foods since this would elevate your UA even further. To help decrease its level, stick with those things lower in purines.

Answered on 27th May '24

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