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Is the treatment given for diabetes correct?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I am a 34-year-old male. My blood sugar level was 300 fasting and 423 postprandial two months back. But recently my sugar level is 96 fasting and 99 is postprandial and HbA1c is 6.8 at present. I am taking Janumet 50/500 once daily after breakfast and Pioz MF 15 before dinner. My creatinine level is 1.33 at present. So I am worried about my kidneys. Is it the right treatment? Please suggest me.
Answered by Dr. Shaikh Sadaf

Education:

MBBS

Professional Bio:

Dr. Shaikh Sadaf is a Specialist in Diabetology and Endocrinology dedicated to providing comprehensive care for patients with hormonal and metabolic disorders. With two decades of clinical experience, she is skilled in managing diabetes, thyroid conditions, and a wide range of endocrine issues. Having trained internationally and earned prestigious memberships from leading medical colleges, Dr. Sadaf combines global expertise with a compassionate, patient-centered approach. She focuses on personalized treatment, preventive care, and long-term wellness to help patients achieve better health outcomes.

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Hello,

Welcome to icliniq.com.

I just read your query and from what you have mentioned it appears that your medications are right. However, regarding your kidney, I would suggest that you check your urinary ACR (albumin-creatinine ratio) and a repeat serum creatinine and get back for review. Also, mention your recent blood pressure readings.

Patient's Query

Thank you doctor,

Recently, I did the urinary ACR report last month. It was 109.67 and the albumin-creatinine ratio was 1.28 and blood pressure is 101/75 mmHg today. So. is there any problem? And will those medicines harm my kidneys in the future? Please suggest me.

Answered by Dr. Shaikh Sadaf

Education:

MBBS

Professional Bio:

Dr. Shaikh Sadaf is a Specialist in Diabetology and Endocrinology dedicated to providing comprehensive care for patients with hormonal and metabolic disorders. With two decades of clinical experience, she is skilled in managing diabetes, thyroid conditions, and a wide range of endocrine issues. Having trained internationally and earned prestigious memberships from leading medical colleges, Dr. Sadaf combines global expertise with a compassionate, patient-centered approach. She focuses on personalized treatment, preventive care, and long-term wellness to help patients achieve better health outcomes.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Hello,

Welcome back to icliniq.com.

Your kidney function tests are good. So, there is nothing to worry about. A diabetic person’s kidney can be affected by the progression of the disease more than by the medications, in which case, they need to be stopped and Insulin has to be started. So do not worry about it now. Keep checking your HbA1c and creatinine levels every three months.

Medically reviewed by iCliniq medical review team
Published At July 21, 2018
Reviewed At June 6, 2023

Education:

MBBS

Professional Bio:

Dr. Shaikh Sadaf is a Specialist in Diabetology and Endocrinology dedicated to providing comprehensive care for patients with hormonal and metabolic disorders. With two decades of clinical experience, she is skilled in managing diabetes, thyroid conditions, and a wide range of endocrine issues. Having trained internationally and earned prestigious memberships from leading medical colleges, Dr. Sadaf combines global expertise with a compassionate, patient-centered approach. She focuses on personalized treatment, preventive care, and long-term wellness to help patients achieve better health outcomes.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Shaikh Sadaf
Dr. Shaikh Sadaf

Endocrinology

Education:

MBBS

Professional Bio:

Dr. Shaikh Sadaf is a Specialist in Diabetology and Endocrinology dedicated to providing comprehensive care for patients with hormonal and metabolic disorders. With two decades of clinical experience, she is skilled in managing diabetes, thyroid conditions, and a wide range of endocrine issues. Having trained internationally and earned prestigious memberships from leading medical colleges, Dr. Sadaf combines global expertise with a compassionate, patient-centered approach. She focuses on personalized treatment, preventive care, and long-term wellness to help patients achieve better health outcomes.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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