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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does High Serum Potassium Levels In A Diabetic Patient Indicate?

Hi, may I answer your health queries right now ? Please type your query here...Iam a diabetic since 1992 now taking Amaryl 1.5 mg, Glucophase2gm, Vildagliptin50 mg b.d. acarbose 100mg Now my HbA1c is 6.8 problem is Serum potassium since last two yr is 5 or 5.3meq/l previously i used to take Tab enalapril also but S K was 4meq/L but now if I take ACE inh or ARBs S K reaches 6 why S K is High? Wht to do? Should I start Insulin Glarzine how much? I had a attack of MI also and taking tab Metoprolol25 mg BD Please suggest me good managent of DM for me along with that I may take ARBs Or ACE inhabitors to prevent kidney damage. Thank You. Dr Naveen
Thu, 11 Sep 2014
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Diabetologist,  's  Response
Dear sir i can understand your concern.
i am very sorry about your condition.
i am very happy to see that your diabetes is under good control.
This ACEi and ARB group of drugs are well established class of drugs that are used in conditions like hypertension,congestive heart failure and kidney protection in diabetes.
this medication will increase sodium loss in urine and absorb potassium
The overall risk of hyperkalemia is very minimal in normal patients but increase in patients who are using potassium sparing diuretics,Decreased renal function and people taking potassium supplementation.
i would like to advise some test to decide whether to continue the ACEi or ARB drugs
1.24 hr urine examination with gfr
2.serum creatinine
3.blood urea
4.p/c ratio and microalbumin
this test will give some guidance for further analysis of condition
As Hba1c is under good control there is no need to change diabetes treatment.
regards

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What Does High Serum Potassium Levels In A Diabetic Patient Indicate?

Dear sir i can understand your concern. i am very sorry about your condition. i am very happy to see that your diabetes is under good control. This ACEi and ARB group of drugs are well established class of drugs that are used in conditions like hypertension,congestive heart failure and kidney protection in diabetes. this medication will increase sodium loss in urine and absorb potassium The overall risk of hyperkalemia is very minimal in normal patients but increase in patients who are using potassium sparing diuretics,Decreased renal function and people taking potassium supplementation. i would like to advise some test to decide whether to continue the ACEi or ARB drugs 1.24 hr urine examination with gfr 2.serum creatinine 3.blood urea 4.p/c ratio and microalbumin this test will give some guidance for further analysis of condition As Hba1c is under good control there is no need to change diabetes treatment. regards