A 45-year-old male asked:
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bp:100-160sugar:100-110urine chemistry24 hrs urine for protein:4260mg/24hrs24 hrs urine for creatinine clearance:65ml/mins.creatinine:1.8mg/dlwhat is the treatment?

3 doctor answers
Dr. Sean Fennessy
22 years experience Internal Medicine
Yes do treat your BP: You have stage 2 chronic kidney disease with proteinuria and also elevated systolic BP indicating that you are at risk of this getting worse. Thankfully you're sugar level is low so not a diabetic - the second most common cause of kidney disease. Ask your doctor about a low dose ace inhibitor or an arb medication for bp. A good alternative to these if not tolerated is CCB (amlodipine). Overwt?
Answered on Jan 12, 2015
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Dr. Joseph Woods
28 years experience Pathology
Need treatment,,: Your protein is way too high in your urine as is your creatinine meaning that your kidneys are not working properly. Your blood pressure is high enough to think of hypertension. Your sugar is not high but you are on glucophage (metformin) which lowers your levels. It would be wise to see your doctor for your blood pressure and for dialysis soon for your renal issue before it get worse.
Answered on Jun 5, 2013
Dr. Jack Rubin
48 years experience Nephrology and Dialysis
Proteinuria: Proteinuria (p) is an ominous sign in patients. You need to see a nephrologist (n) .Your p is > 4 grams/day and that is not good. Those with p have a higher incidence of stroke, kidney failure and heart attacks related to the amount of p they. You've kidney disease and need to control your BP and glucose. A n can start you on treatment plan to lower your p and do blood tests to see what caused it.
Answered on Jun 10, 2014

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