What Should I Do About Tender Pain In The Back And Elevated Creatinine Levels While On Diabetes And Hypertension Medication?

Posted on Fri, 20 Oct 2023

Question: I am a Diabetic patient for last 24 years. Presently for last 6 to 8 months my sugar levels are totally in control, on account of medicines I am on. However today when I checked my Creatinine it was found to be 4.4 . My fasting sugar was 90 but my hemoglobin is 8.5.

Six months ago I used to have swellings in both my feet upto thigh and many times on both my hands. These have disappeared since last three months.

I feel weak and cannot walk even 200 ft. I get tender pain in the back. Otherwise I am actively attending my office etc. Besides, sugar and blood pressure medicine I am on " dytor 40 tabs" . Please suggest how best I can reduce my creatinine levels and what precautions I should take now.

Answered by Dr. Dr. Prasad J (6 hours later)

Brief Answer:
Need to see a nephrologist for further evaluation..

Detailed Answer:
Hi,

I went through your details with diligence. Based on your medications, you seem to be suffering from diabetes, high blood pressure, previous coronary vascular disease, neuropathy, and hyperuricemia.

Long-standing diabetes has its effect on the kidney. It seems like the kidney effects are chronic (chronic renal disease). However, that can be decided only after thorough evaluation by a nephrologist. Low hemoglobin value is associated with chronic renal disease, therefore I will insist you visit a nephrologist and plan future treatment.

For now, you need to avoid unnecessary medications especially painkillers. You may need a dietary change (protein-restricted diet along with low-calorie diet) as well as some fluid restriction. You can prepare a diet plan after consulting a nephrologist.

Hope this helps. Let me know if you need clarifications.

Regards

Above answer was peer-reviewed by : Dr. Prasad