apollo
  • male
  • 50 Years
  • 23/01/2025

I'm a bit worried about my diabetes and recent test results. My urinary microalbumin creatinine ratio test shows a microalbumin concentration of 76.43, urinary creatinine concentration of 19.31, and a microalbumin creatinine ratio of 395.80. I've been taking mucinac 600 tablets, but I haven't seen any improvement. How can I lower these levels?

Doctor 1

Answered by 1 Apollo Doctors

Your microalbumin-to-creatinine ratio (395.80) indicates early signs of diabetic nephropathy; to reduce microalbuminuria, focus on tight blood sugar control, aiming for an HbA1c < 7%; also, consider the following: maintain optimal blood pressure control (

Dr. Kareemulla Suggests...

Consult a Nephrologist

Answered 04/07/2025

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I'm really concerned about my kidney health since my serum creatinine levels recently went up from 1.6 to 2.2. After cutting out salt from my diet, the levels came down to 1.7. I'm looking for advice on medications that could help bring my creatinine down to around 1.3. I'm also managing diabetes, with an HbA1C of 8.2, and I've been on insulin Human mixtard with 35 units in the morning and 25 at night. My blood pressure is currently under control, but I would really appreciate any advice on medicines that could help with both my kidney and diabetes issues.

. I can understand your worry.. creatinine is measure of kidney function.. since you have diabetes and hypertension, both of which affects kidney if not controlled properly.. hba1c of 8.2 is not good control.. it's has to be below 7 then only it's good control.. have small frequent meals instead of three big meals, have more fibre rich diet, have green leafy vegetables, in fruits have guava, orange, avoid sapota, papaya, apple, banana.. reduce carbohydrates and fats.. for kidney disease, reduce salt intake and have low protein intake.. consult dietician for complete diet plan..

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Doctor 1Doctor 2

Answered by 1 Apollo Doctors

I've just turned 27 and was diagnosed with high blood pressure about a year ago. I'm currently taking Telma and Prazopress. I recently read online that having high BP might increase the chances of developing kidney issues later on. Can you guide me on how I might prevent this from happening?

Your father's blood pressure reading of 17080 is not normal, especially considering his history of diabetes. Normally, people with diabetes should have a blood pressure of no more than 13080 . The sudden spike in blood pressure could be a cause for concern. I recommend that you consult with your father's doctor immediately to determine the cause of this sudden increase. In the meantime, here are some general tips that may help your father manage his blood pressure: - *Monitor blood pressure regularly*: Keep track of your father's blood pressure readings to identify any patterns or changes. - *Follow a healthy diet*: Encourage your father to eat a balanced diet that is low in salt, sugar, and unhealthy fats. - *Stay hydrated*: Make sure your father drinks plenty of water throughout the day. - *Manage stress*: Stress can exacerbate high blood pressure. Encourage your father to engage in stress-reducing activities like meditation, yoga, or deep breathing exercises.

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Doctor 1Doctor 2

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I'm a bit worried as I've been told that both my kidneys are small and show increased echogenicity. The left kidney measures 74x42mm and the right one is 76x46mm. What does this mean for my kidney health? Should I be concerned about these sizes and echogenicity levels? What steps should I take next?

Small kidney size with increased echogenicity suggests chronic kidney disease (CKD) or other renal conditions; consult a nephrologist for further evaluation and management to determine underlying cause and prevent progression

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Doctor 1Doctor 2

Answered by 1 Apollo Doctors

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