Brief Answer:
About your concerns:

Detailed Answer:
Hello and thank you for asking!
I have gone carefully through your concern.
The causes of lower glucose levels include high insulin sensitivity, exaggerated response of insulin and glucagon like peptide 1, defects in
counterregulation, very lean and /or anxious individuals, after
massive weight reduction,ect. XXXXXXX phenomen consists in low glucose levels during the night.
All you can do is to avoid carbohydrate loads , eat regularly meals (5 meals per day without high calorie index foods) in order to prevent the overproduction of insulin by pancreas.
Regarding to levothyroxine dose you need to check TSH level in order to confirm that the dose is right.
Meanwhile some further examinations are needed to find the cause of high creatinine level.
You should see a nephrologist for it.
Hope i have been helpful,
Kind regards,
Dr.Mirjeta

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Brief Answer:
Do not worry about glucose levels:

Detailed Answer:
Welcome back,
I am endocrinologist/diabetologist.
I would suggest to continue with 75 mcg of levothyroxine.
Lower postprandial sugar than fasting is not serious, it can be considered a normal phenomenon (as far as the blood sugar is within the lower and the upper limit).
As i mentioned above, you need some further investigations to find out why the creatinine level is high. There are many pathologies causing it (glomerulonephritis, frequent urinary infections, congenital anomalies ect).
You will need a renal ultrasound, urine test, albuminuria in the 24 hour collected urine ect.
Your treating physician will guide you further after a detailed clinical examination.
Best wishes,
Dr.Mirjeta

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Brief Answer:
About creatinine level;

Detailed Answer:
Hi again,
If there is no pathology found than you may continue with Telma 80 (no need for diuretic as the blood pressure is within the normal ranges).
Keep monitoring Creatinine level and urine for hematuria once in three months.
There is no need to check creatinine every 2 days.
Best wishes,
Dr.Mirjeta

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Brief Answer:
About telmisartan:

Detailed Answer:
Hi again,
Yes your concern is right. Telmisartan has been accused to have a greater risk than other ARBs for some types of cancers but the studies have not approved it. It is in use since 1998 (almost 20 years) and there has been a lot of time time to conduct studies.
In contrary, Telmisartan has been found to have activity against a variety of cancers in vitro, including prostate,renal,colon, leukemia,and ovarian cancer.
The mechanisms of telmisartan's anti-cancer activity have been found to include up-regulation of proliferator-activated-receptor (PPAR) pathway, Bcl-2, and caspase activation.
In my experience, to be sincere i haven't conducted any study regarding this problem and i haven't noticed such a connection.
Wish you all the best.
Dr.Mirjeta

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Brief Answer:
About telmisartan:

Detailed Answer:
Hello,
Yes, an ARB treatment is recommended to prevent further damages of the kidneys, or to improve its function.
Rather telmisartan or another Angiotensine-renine Blocker, there will not be any significant difference, they have almost the same effect. They role in preventing further renal damage is very important. As it has been efficient until now, i would suggest to continue with it.
Yes, i do suggest it in my everyday practice to prevent diabetic nephropathy (with the same frequency as the other medications of this group).
Keep monitoring Creatinine level once in three months.
Wishing you good health!
Regards,
Dr.Mirjeta

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