Brief Answer:
Please tell her to take medicines and follow diet instructions

Detailed Answer:
Hi XXXX,
Thanks for writing in to us.

I have read through your query in detail.
Diabetes and high BP are common conditions. If proper treatment is taken and diet instructions followed then the patient condition will be maintained.

From the reports sent, it appears that your mother in law has a HbA1C level of 9.3 when it should be under 7 in well controlled diabetes. This investigation is accurate and tells the average 3 months sugar levels. Your mother in law is not controlling her sugar levels and that is the reason for a high reading.

Serum creatinine is a test for kidney function. It is known that most patients with diabetes will have reduced kidney function after many years. High blood pressure also causes slow reduction in kidney function. Since your mother in law has both diabetes and high blood pressure and also the diabetes is no well controlled, this has started affecting the kidneys now.

I suggest she takes strict precautions on her diet, takes medicines regularly and visits her doctor every 3 to 6 months as required then her health will improve.

It is also important to get the eyes checked up once a year. Any wound in the body should be treated as it takes more time to heal in people with diabetes.

Please let her continue allopathy treatment and also follow instructions of eating as told by her doctor. After 3 months you can repeat the serum creatinine and HbA1C and then it will surely show improvement.

If she does not take medicines and sugar levels are not controlled then the serum creatinine will increase and can cause kidney failure. Once kidney failure starts then it is difficult to reverse the kidney functions.

Hope this answers your question. Please feel free to correct any oversight in my interpretation of your problems and discuss them in detail as per your requirements.

Hope your query is answered.
Do write back if you have any doubts.

Regards,
Dr.Vivek

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