My mom is diabetic, due to which have some kidney problem, and bp, last year she had kidney infection and urine infection she was admitted and treated, doctor gave her different medicine for urine infection but it didn't cure, he then gave urimax 0.4 my mom is continuing this for last 10 month, as the doctor is very busy and arrogant we didn't visit them again. He ask us to stop neprosav which he has given for kidney. My mom creatinine is now suddenly increase to 1.5 before it used to 1.2,she is having her bp and sugar medicine regularly, now in sleep she have cramps in legs and hand some time. I am attaching in urine report. I want your valuable advise.

Dr. Prabhakar Laxman JatharEndocrinologist48yrs exp

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Hello, thanks for the query. I have gone through the details given. In this communication there is no facility for attaching or forwarding the reports. That can be done only when one comes through a private conversation (paid consultation). In this communication you can only type the details and post in the question itself. When a person has diabetes for a number of years (15 - 20 years or more), it does affect the kidneys leading to diabetic nephropathy. This happens because of long term damage caused by high glucose on microvasculature of the kidney. This results in increase in serum creatinine, urea & micoalbuminuria as well as reduction in glomerular filtration. (measured as egfr). Urinary infection can creat further complications. Urimax 0.4 mg is given for helping passing of urine easily. Cramps are quite common in some diabetic persons. In this communication we are only supposed to give general guidelines, no drugs can be prescribed. I request you to come back with following details: fasting, pp glucose values, hba1c%, dosage of antidiabetic drugs, serum urea and microalbumin values, plus bp readings and lipid profile. Thanks. 

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