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Asking for Father, Male, 67 years old, Rawalpindi
RFTs Urea 57 (normal value 17---43) serum bun 27 ( normal value 7.9 ----20) creatinine 2.3 ( normal value 0.7 ---1.4) Uric acid 604 ( normal value 3.5 -- 7.2) Urine color pale yellow/ ph 6.0 HBA1C 9.5 3 years back diabetic foot operate hua tha. aik finger cut hui thi. Sita Met 50/500 used for almost two years, then doctor changed to SiTA only.
extreme weight loss in last 6 months. Urine control nahi ho raha last week se .. weakness boht ziada hai pls advise on above reports and history
Better to shift on insulin and regularly follow up by the diabetologist
Keeping in view above tests the insulin is the best option for diabetes management. Secondly diet should be advised in relation to kidney disease.
Arrange consultation for proper advice and insulin technique
Consult a diabetologist, do eGFR test and go to a doctor.
Good glycemic control is primary requirement and as kidney function are abnormal ,needs insulin to avoid further catabolism and weight loss ,also nephrologist opinion with serum calcium phosphate and Intact PTH and try to reverse creatinine to normal if cause is possible like correction of anemia, hypertension, diabetes , cholesterol, electrolytes and dietry counseling
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Kindly switch to Inj Insulin. 70/30
20 units subcutaneously in morning.
10 units Subcutaneously in evening
Tsb. Ketosteril 1mg 1+1 x 4 weeks
Avoid Beef. Use Fish
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