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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment To Keep Blood Sugar Level Under Control

I had a kidney transplant after many years of waiting and I was very happy even i was very week and low energy Hoping to be well after that but after two months the dr. said to me now I have a high sugar in my blood because of the side effect of the medication I asked him to change the medication but a month passed he asked me to continue on the medication even though it has a lot of side effects so what can I do now.
Thu, 20 Nov 2014
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General & Family Physician 's  Response
Hello there,
First of all congratulations on the kidney transplant. You are one of the very few lucky ones who get a transplant in time. The medications you are on now are to prevent your body from rejecting the transplant which is a foreign body in your body. They do have a few side effects like all other drugs and one of them is high blood sugars. This is a type of diabetes called NODAT(New onset diabetes after transplant). Usually you need to be on some treatment for the high sugars depending on your sugar levels and kidney functions. You need to visit a diabetologist who can evaluate you and suggest some blood tests like Fasting blood sugars and post meal blood sugars and average sugar i.e HbA1c. After seeing the values your diabetologist can guide you whether you can be on oral medicines or need some insulin. If you continue to have high blood sugars it can damage your other organs along with your new kidney. So controlling sugars is important. Also the medications for kidney transplant cannot be stopped for some small side effects. If they are stopped it will put you at high risk for rejection. So try to see the bright side of the picture and keep track of your sugars and visit a diabetologist.
Hope this helps.
Take care.
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Internal Medicine Specialist Dr. Manoj P Joseph's  Response
Hi thanks for using Healthcaremagic
Your transplant physician can't stop many of the drugs all of a sudden.
But the sugar values have to be controlled.
Most of the drugs are safe to use.If the sugar values are very high then insulin can be considered.
You can consult with your doctor about these....
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Suggest Treatment To Keep Blood Sugar Level Under Control

Hello there, First of all congratulations on the kidney transplant. You are one of the very few lucky ones who get a transplant in time. The medications you are on now are to prevent your body from rejecting the transplant which is a foreign body in your body. They do have a few side effects like all other drugs and one of them is high blood sugars. This is a type of diabetes called NODAT(New onset diabetes after transplant). Usually you need to be on some treatment for the high sugars depending on your sugar levels and kidney functions. You need to visit a diabetologist who can evaluate you and suggest some blood tests like Fasting blood sugars and post meal blood sugars and average sugar i.e HbA1c. After seeing the values your diabetologist can guide you whether you can be on oral medicines or need some insulin. If you continue to have high blood sugars it can damage your other organs along with your new kidney. So controlling sugars is important. Also the medications for kidney transplant cannot be stopped for some small side effects. If they are stopped it will put you at high risk for rejection. So try to see the bright side of the picture and keep track of your sugars and visit a diabetologist. Hope this helps. Take care.