Just I got my husband reports having creatinine 3.0 and egfr19, having the age of 43 suffering wth sugar from 15 years, some legs part is getting tighter, soaring breath while he is in sleep, wt are the precautions to take care of him, now at present.

It's crucial to consult with a healthcare professional for personalized advice based on your husband's specific health condition. Elevated creatinine levels and a reduced estimated glomerular filtration rate (egfr) may indicate kidney dysfunction, and managing diabetes is crucial in such cases. Here are some general considerations: diabetes management: ensuring optimal blood sugar control is essential. Your husband should adhere to his prescribed diabetes medications, follow a balanced diet, and engage in regular physical activity. Regular monitoring of blood sugar levels is also important. Blood pressure control: it's crucial to manage blood pressure effectively. Medications prescribed by the healthcare provider should be taken as directed, and lifestyle modifications, including a low-sodium diet, may be recommended. Kidney-friendly diet: consult with a registered dietitian or healthcare provider to create a kidney-friendly diet plan. This may involve restricting certain foods and managing protein intake to reduce the workload on the kidneys. Fluid intake: depending on the severity of kidney dysfunction, your husband may need to manage fluid intake. In some cases, fluid restriction may be necessary, and this should be discussed with a healthcare professional. Medication review: review all medications with the healthcare provider, including over-the-counter drugs and supplements. Some medications may impact kidney function, and adjustments may be necessary. Regular follow-ups: ensure regular follow-up appointments with the healthcare provider to monitor kidney function, adjust medications, and address any emerging issues promptly. Symptom monitoring: keep an eye on symptoms such as leg tightness and difficulty breathing during sleep. Report any new or worsening symptoms to the healthcare provider for evaluation. It's essential to seek immediate medical attention if there are sudden or severe symptoms, such as difficulty breathing, chest pain, or other signs of a medical emergency. In prioritizing your health and well-being, remember that small, positive changes contribute to lasting improvements. Consistent self-care, adherence to medical advice, and proactive lifestyle choices play pivotal roles in maintaining optimal health. Should you need further guidance or have questions along your wellness journey, feel free to initiate a private consult. Wishing you continued good health and well-being. 

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