Hi doctor, I have hypertension and diabetes for 25 years. I am taking 250 units of Insulin for six years. GFR 20 creatinine is 3.11. Should I take Cremaffin to reduce the creatinine? I am taking Aten 100, Telmisartan 80, Benina 8mg. I had edema in legs and started Lasix 120 mg and Zyloric 500 mg. My weight had gone up suddenly by 10 kg. I weigh about 100 kg. I had a kidney stone of 15 mm six years back and now it is 7 mm. Suddenly my weight increased and so the BP. I was taking Amlodipine but now changed to Benina 8 mg.
Hello. I have seen the reports sent by you. (attachment removed to protect patient identity).  Your creatinine is 3.1 which is not very high. Also, your other blood reports are fairly fine. But your HbA1c (glycated hemoglobin) is high. It should be below 7. Your diabetes is not under adequate control. Other parameters like calcium, sodium, and potassium are fine. You are presently suffering from diabetes and hypertension-related chronic kidney disease. Your treatment should include: 1. Adequate control of diabetes and hypertension. 2. Proper exercise and lifestyle changes (no smoking and alcohol). 3. Fluid intake should be 500 ml more than the total urine output. 4. Diabetic renal diet is very important (can consult a dietician for proper diabetic renal diet). 5. Other antihypertensives, Lasix, and Insulin to be continued as it is. 6. Cremaffin will not help in reducing creatinine. As it is chronic kidney disease it is irreversible and your goal should be only to prevent progression by strict diet and medicines.