I'm dealing with diabetes and my sugar level has hit 560, but strangely, I don't feel any different or have any symptoms. I'm really concerned about this and I could really use some help figuring out a diet plan and an exercise routine. How can I get my sugar levels under control?
Elevated Blood Creatinine and Reduced Kidney Function
_Interpreting test results:_
1. _High creatinine levels_: 5.91 mgdL indicates impaired kidney function.
2. _Shrunken kidneys_: Reduced kidney size suggests chronic kidney damage.
3. _Limited kidney function_: 5-10% functioning kidneys indicate severe impairment.
_Advice:_
1. _Follow doctor's advice_: Complete the prescribed 1-month medication course.
2. _Lifestyle modifications_: Implement changes to slow disease progression:
- _Dietary changes_: Limit protein, sodium, and potassium intake.
- _Stay hydrated_: Drink plenty of water.
- _Exercise regularly_: Engage in moderate physical activity.
- _Manage bone pain_: Discuss pain management options with your doctor.
3. _Prepare for potential dialysis_: Understand the dialysis process and its implications.
4. _Seek emotional support_: Share your concerns with family, friends, or a counselor.
_Consult a nephrologist:_
1. _Specialized care_: Consider consulting a nephrologist for expert guidance.
2. _Treatment options_: Discuss potential treatment options, including dialysis, transplantation, or conservative management.