Sir My uncle is having sugar since so many years he is now 77 yrs, on regular checkups and maintaining sugar and other recently he was breathless and stomach started bloating and helpless ness in the body when admitted in the hospital on checkup doctors conclude of his kidney condition is bad as serum creatinine was more than 6 points. So they warned us to go for dialysis to control the same and even some water in the lungs and its infected all the parts inside heart too. On continuation 3 time performed the same for little change in the condition. Please let me have suggestion as damaged kidney can be improved for better condition avoiding life through the dialysis for the patient.
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Mr. lybrate-user, Thanks for the query. Long standing diabetes even when it is fairly well controlled does affect kidney, causing diabetic nephropathy. This happens mainly due affection of filtration membrane in the nephrons. High creatinine, increased urea concentration and swelling of feet and legs plus increased protein excretion in urine are the signs. In such a situation following things are required: strict bloo glucose control (Fasting < 100 mg, PP 160 to 170 mg & HbA1c% <7), protein restriction, well controlled BP are primary requirements. In such a situation dialysis is one very necessary measure. Plus that may have to be continued for quite some time. Thanks.
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