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Doctor insights on: Anemia And Kidney Failure Change A A1c Level

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Kidney (Definition)

The kidneys are paired organs that lie on either side of the vertebral column. Part of their critical functions include the excretion of urine and removal of nitrogenous wastes products from the blood. They regulate acid-base, electrolyte, fluid balance and blood pressure. Through hormonal signals, the kidneys control the ...Read more


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Can u have kidney failure bec of urination frequency while ur kidney ultrasound resulted to normal and creatinine result is low? Appreciate help.

Can u have kidney failure bec of urination frequency while ur kidney ultrasound resulted to normal and creatinine result is low? Appreciate help.

No, increased: urinary frequency does not cause renal failure, nor does renal failure cause increased urinary frequency, However, certain underlying conditions(e.g. diabetes) can lead to both increased urinary frequency and kidney damage. ...Read more

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Does a slightly low potassium and calcium blood level indicate kidney failure?

Does a slightly low potassium and calcium blood level indicate kidney failure?

Not necessarily: Not necessarily, best to follow up. Sometimes corrected with diet and supplements. Slight fluctuations do not indicate failure, but more the need for monitoring and correction. ...Read more

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Could diabetes type 1.5 be the underlying cause of TIA like symptons, hypertension, hi glucose, low mpv, and low kidney function+protein in urine?

Could diabetes type 1.5 be the underlying cause of TIA like symptons, hypertension, hi glucose, low mpv, and low kidney function+protein in urine?

Yes : Type 1.5 diabetes involves autoimmune Insulin deficiency in addition to the Insulin resistance seen in type 2 diabetes. Cardiovascular problems, retinopathy, kidney failure, etc. Are sequelae to this disease. Tia risk is markedly increased by these factors. ...Read more

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What can cause sudden elevation of liver levels in a patient with biliary cirrhosis on meds?

What can cause sudden elevation of liver levels in a patient with biliary cirrhosis on meds?

PBC Elevated LFT's: Primary biliary cirrhosis (pbc) itself is a terminal cirrhotic state of liver, requiring liver transplant. There is not much ast & alt enzymes left in liver to go up. Certain insults, can expedite liver damage, by elevated lft's: medicines metabolized by liver, alcohol, an obstruction in porta hepatis, ? Malignancy, need to be considered. ...Read more

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What causes EPO level to drop. Can it be something not serious. Kidneys scan and ceatinine level in blood normal. Got moderate anemia. Epo low. 70 yrs?

What causes EPO level to drop. Can it be something not serious. Kidneys scan and ceatinine level in blood normal. Got moderate anemia. Epo low. 70 yrs?

Anemia in a 70'er: The 70 year old person likely has chronic kidney disease (CKD), despite having a normal level creatinine. Have that person see a nephrologist for a 24 hour urine for creatinine clearance to assess the person's kidney function. It the glomerular filtration rate (GFR) is ...Read more

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Can pristiq (desvenlafaxine) cause low blood sugar of 64 in a patient with stage 3 CKD & elevated amylase and lipase enzymes. No diagnosis of pancreatitis from mayo.

Can pristiq (desvenlafaxine) cause low blood sugar of 64 in a patient with stage 3 CKD  & elevated amylase and lipase enzymes. No diagnosis of pancreatitis from mayo.

Very unlikely: Up until october of 2013 there have only been 7 cases of hypoglycemia reported to the fda regarding Pristiq (desvenlafaxine) out of hundreds of thousands of prescriptions that have been written. Also, 64 is not technically low blood sugar.It must be below 50, and some specialists would use 40 aat a hypoglycemic cut-off. ...Read more

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72 yr old male, with diabetes and hbp... Kidney funct. Normal, elev. Microalbumin and microalb. Creatinine, high hemoglobin a1c. Do I have kidney dis?

72 yr old male, with diabetes and hbp... Kidney funct. Normal, elev. Microalbumin and microalb. Creatinine, high hemoglobin a1c. Do I have kidney dis?

Yes: By definition, if your creatinine is elevated, you have kidney disease. When we calculate your kidney fucntion, we take into consideration your weight and age. An elevated hb a1c suggests poor blood sugar control. Although it is not directly related to kidney function poor glycemic control, a persistently elevated a1c may contribute to a decline in renal function. Please talk to your doctor. ...Read more

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I have anemia and gastritis. My B12 level is normal. Could the gastritis alone cause anemia related to blood loss? Thank you.

I have anemia and gastritis. My B12 level is normal. Could the gastritis alone cause anemia related to blood loss? Thank you.

Need more eval: Gastritis means inflammation on the stomach lining. It does not cause anemia- unless if it is not just gastritis but also you have bleeding on the stomach lining or if the gastritis is affecting absorption of certain nutrient like iron for instance. There are many things that can cause anemia besides iron, vit B12 def or bleeding. You definitely should have further evaluation to find the cause. ...Read more

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Pt with history of acute pancreatitis and gall stones, presents with disorientation ammonia levels 800 n rising.Liver profile normal, no ph, suggest cz?

Pt with history of acute pancreatitis and gall stones, presents with disorientation ammonia levels 800 n rising.Liver profile normal, no ph, suggest cz?

Not enough info: Have the gallstone & past pancreatitis issues been treated with gallbladder surgery? What radiology tests gave been done? Is there bile duct blockage? Sounds more like liver failure or other serious liver dysfunction. Your doctor should know better who has all the test results. See a gasteoenterologist for an opinion if needed. ...Read more

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Neurogenic bladder. Can bun 74 creatinine 2.5 values improve with b12? It went down to 44/1.5. Does the ratio indicate azotemia or urinary retention?

Neurogenic bladder. Can bun 74 creatinine 2.5 values improve with b12? It went down to 44/1.5.  Does the ratio indicate azotemia or urinary retention?

Renal impairment: While those values suggest dehydration, you could have more than just a bladder problem such as poorly functioning kidneys (renal impairment). Ask you doctor if referral to a urologist is appropriate - sounds like it is. Hope this helps! ...Read more

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What are the acceptable potassium levels in a patient with chronic kidney disea?

What are the acceptable potassium levels in a patient with chronic kidney disea?

3.5 to 5.0-5.5: Generally, the potassium should be kept within normal limits just as for a person without renal disease. Most labs have a normal range of 3.5 on the low end and may be anywhere from 5 to 5.5 on the high end. Potassium is less well eliminated by patients with kidney disease and generally with advanced kidney disease, the potassium intake must be reduced. ...Read more

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Can heart failure or low cardiac output be associated with protein deficiency and how to best recover? Bnp=300 & protein 5.8g/dl

Can heart failure or low cardiac output be associated with protein deficiency and how to best recover? Bnp=300 & protein 5.8g/dl

Heart failure : Right sided hf can lead to swelling of intestines and then poor nutrient absorption. This can go along with abdominal bloating. If this is happening or if you have difficulty breathing with exercise, you need more water taken off. I like to use (lots of) Aldactone (spironolactone) for this. Also check to see if you are losing protein in your urine. ...Read more

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Complete liver failure and chronic kidney failure and diabetes, one doctor said emergency dialysis, and another said not bad enough? How can this be?

Complete liver failure and chronic kidney failure and diabetes, one doctor said emergency dialysis, and another said not bad enough? How can this be?

Kidney function: The decision to initiate dialysis usually is based on several factors. First laboratory testing can be performed to estimate the glomerular filtration rate. In addition clinical signs are taken into account such as the presence of swelling, poor appetite, weight loss, and decreased level of functioning. Since these are not absolute criteria, there may may some variance in opinion between physician. ...Read more

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T1 diabetic, kidneys leaking 1000 mg of protein. Is this full failure or K. disease that can be fixed with Ramipril and good control of blood sugar?

T1 diabetic, kidneys leaking 1000 mg of protein. Is this full failure or K. disease that can be fixed with Ramipril and good control of blood sugar?

Focus on sugar: Uncontrolled blood sugar is the most common reason to develop chronic kidney failure. A young person without other medical issues except diabetes will win the battle of frank kidney failure he/she focuses on getting that sugar adequately controlled asap ...Read more

Dr. Tarek Naguib
600 doctors shared insights

Kidney Failure (Definition)

A condition in which your kidneys suddenly stop working normally. Since your kidneys remove waste products and help balance water and salt and other minerals (electrolytes) in your blood, when your kidneys stop working, waste products, fluids, and electrolytes build up in your body. This can cause problems ...Read more


Dr. Ira Katz
518 doctors shared insights

Hemoglobin A1c (Definition)

It helps determine the average blood sugar over a long period of time, about 2 or ...Read more