instruction: hi doctor my father was previously diagnosed with renal tubular acidosis and diabetes mellitus was maintained on potassium citrate and gliclazide od currently he had an infected insect bite on the left anterior lateral aspect of the leg he was started on co amoxiclav bid currently on its ith day I had his labs taken which revealed hba1c 5 fbi 57 crea 79 my do bun 67 my do hgb 195 hct 58 abc 13 plt 157 with normal lipid profile and uric acid should I start cod medicines already should I step up with the do medicines thank you
output: hi high creatinine suggests a cod picture for a long term diabetes particularly uncontrolled do your fathers hba1c is high which shows his diabetic status is not under control high potassium levels is one of the complications of cod in this picture taking potassium citrate is not advisable as it may increase its levels and diabetic drugs also need to be modified when a person lands up in cod most oral medicines cannot be given it is safe to shift the treatment with insulin you need to visit a nephrologist for alterations in your medications and appropriate advice for cod serum potassium sodium phosphorus urine routine us abdomen do cod