Hello doctor, I am a male, 68 years old, diabetic, with chronic kidney disease, and creatinine level 5.96. What diet should be given to prevent dialysis and control creatinine level?
Hi. Reviewing the laboratory results (attachment removed to protect patient identity), the patient has already developed significant damage, creatinine is too high and has already secondary hyperparathyroidism. Type 2 diabetes with renal complication. Dialysis is unavoidable, at this stage. To control diabetes and further renal damage, must avoid Metformin and must avoid a high dose of DD-4 or extended release Sulfonylurea. A safe option is low dose DD-4 or Insulin low dose weight adjusted. Keep diet in moderation for protein, does not need high protein diet and must follow up with nephrology.