instruction: hi doctor I have hypertension and diabetes for 25 years I am taking 250 units of insulin for six years gor 20 creatinine is 1 should I take cremaffin to reduce the creatinine I am taking ten 100 telmisartan 80 benina 8mg I had edema in legs and started lasik 120 my and pyloric 500 my weight had gone up suddenly by 10 keg I weigh about 100 keg I had a kidney stone of 15 my six years back and now it is my suddenly my weight increased and so the be I was taking amlodipine but now changed to benina my
output: hello I have seen the reports sent by you your creatinine is 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 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 adequate control of diabetes and hypertension proper exercise and lifestyle changes no smoking and alcohol fluid intake should be 500 my more than the total urine output diabetic renal diet is very important can consult a dietician for proper diabetic renal diet other antihypertensives lasik and insulin to be continued as it is 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