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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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Dr. Liawaty Ho Dr. Ho
2 doctors agreed:
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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.

Dr. Liawaty Ho Dr. Ho
2 doctors agreed:
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. Jay Park Dr. Park
4 doctors agreed:
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Is anemia linked to kidney failure?

Dr. Jay Park Dr. Park
4 doctors agreed:

Yes: Kidney failure is often associated with anemia. The lack of erythropoietin, an essential hormone produced by the kidneys that enhances red cell production from bone marrow, would be the easiest explanation. ...Read more

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Dr. Jay Park Dr. Park
3 doctors agreed:
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Is anemia usually linked to kidney failure?

Dr. Jay Park Dr. Park
3 doctors agreed:

Yes: Anemia is one of common findings associated with renal failure. The lack of erythropoietin (red cell production enhancing hormone from kidney) is among the causes. ...Read more

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I've anemia, kidney failure (3), gout.. Is there way to treat anemia w/o upsetting the gout and kidney? Is the anemia life threatening w/o treatment?

I've anemia, kidney failure (3), gout.. Is there way to treat anemia w/o upsetting the gout and kidney? Is the anemia life threatening w/o treatment?

Anemia: Anemia is a frequent problem with chronic kidney disease and absolutely can be treated in patients with diseases like gout. Your kidney doctor may be the best one to discuss your options. Good luck! ...Read more

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How does kidney disease lead to anemia?

Erythropoietin: The kidneys make a hormone called erythropoietin which travels to the bone marrow and tells it to make red blood cells. If the kidneys are diseased they sometimes do not make this hormone and the person will become anemic. Always remember there are many reasons a person can become anemic- kidney disease is only one way. ...Read more

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My A1c is 6.2 as a result of taking 2 pills of metformin. Should i now take 1 to reduce chances of liver damage or kidney failure? Please advise.

My A1c is 6.2 as a result of taking 2 pills of metformin. Should i now take 1 to reduce chances of liver damage or kidney failure? Please advise.

No: You should continue treatment of your metformin as it is well tolerated. You doctor can follow up on routine blood work to evaluate for the concerned conditions. You a1c is currently right at goal of < 7. If you remain at this range or lower and your diet improves or you lose weight then you doctor might find it appropriate for you to reduce you dose. ...Read more

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Why does kidney disease cause anemia? Epo?

Why does kidney disease cause anemia? Epo?

Anemia in CKD: Chronic kidney disease (ckd) anemia is caused by the diseased kidneys not being able to make the hormone, erythropoietin (e). E stimulates the bone marrow to make new red blood cells. Epogen (epoetin alfa) is a man made drug that replicates e's affects on the bone marrow and is given to both CKD and dialysis patients to treat their anemia. ...Read more

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Dr. Jay Park Dr. Park
3 doctors agreed:
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Why does anemia cause progression of chronic kidney disease?

Dr. Jay Park Dr. Park
3 doctors agreed:
Why does anemia cause progression of chronic kidney disease?

Reversed sequence: Progression of chronic kidney disease results in development of anemia because kidney is no longer able to produce erythropoietin, a hormone enhancing red blood cell production from bone marrow. ...Read more

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1/29/13 yrly checkup GFR 97 creatinine .74 had urine checked 2 weeks ago no protein all ok urinating more often nml amounts A1c 4.9 -- kidney failure?

1/29/13 yrly checkup GFR 97 creatinine .74 had urine checked 2 weeks ago no protein all ok urinating more often nml amounts A1c 4.9 -- kidney failure?

NOPE!: All the #s you offered are totally normal. If you are having frequency of urination, might want to have urine rechecked for infection or see md either way if bothering you too much... ...Read more

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Can Stage 3 kidney disease & kidney stones cause minor anemia & low TIBC? Thank you.

Can Stage 3 kidney disease & kidney stones cause minor anemia & low TIBC? Thank you.

Yes: It can definitely cause anemia in what we call anemia of inflammation. It is also known as anemia of chronic disease. The kidneys secrete an important hormone called erythopoetin which helps with the production of red blood cells. For this reason, you have anemia of chronic disease. You should definitely have iron studies drawn and see if you are a candidate for medication. ...Read more

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What shall I do with a patient who had history of diabetes mellitus and anemia now experience acute kidney failure and pneumonia due to vasculitis?

What shall I do with a patient who had history of diabetes mellitus and anemia now experience acute kidney failure and pneumonia due to vasculitis?

Many issues: 1: Both kidney failure and pneumonia need attention. The kidney specialist will take care of the acute kidney failure and a blood vessel specialist will take care of the vasculitis. Pneumonia can be handled either by these two doctors or your primary doctor. If managed carefully under control you can also get rid of diabetes. ...Read more

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Ma w lupus in hosp. A wk. Esrd, chf. Now low oxygen, low HRT func. Anemia delays angiogram. Yest surg fix bad fistula. No bld thinners now. How i help her avoid bld clots while waiting angio?

Ma w lupus in hosp. A wk. Esrd, chf. Now low oxygen, low HRT func. Anemia delays angiogram. Yest surg fix bad fistula. No bld thinners now. How i help her avoid bld clots while waiting angio?

Multiple risk factor: Have led to clotting of fistula. Seems like blood thinners can prevent clotting of fistula. Physicians taking care of patients can best make that decision since they know the complete picture, please discuss with them. ...Read more

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Does kidney failure affect your energy levels?

Does kidney failure affect your energy levels?

Yes: Most people with some form of kidney(renal) have diminished energy levels and can, in fact, be quite ill. ...Read more

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Does a low phoshorus level and low complement C3 but normal bun and creatin level mean kidney failure?

Does a low phoshorus level and low complement C3 but normal bun and creatin level mean kidney failure?

No: Kidney failure is defined by changes in bun/cr and more correctly GFR (glomerular filtration rate) over time. A normal BUN and cr is reassuring. Usually the phosphorus is high with kidney failure. A low complement (c3) level relates to the immune system and a possible deficiency there. ...Read more

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I have type 1 diabets, now my blood sugar level is normal...Is there any problem in kidney failure in future?

I have type 1 diabets, now my blood sugar level is normal...Is there any problem in kidney failure in future?

Much lower: Kidney failure is related to blood sugar levels over many years. It is great that you are doing so well now... Keep it up. Keep your BP well controlled. Some people are more prone to kidney failure than others, but keeping blood sugar and BP normal will prevent most of it. ...Read more

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I recently went for blood count and my creatinine level was 1.34. Are my heading towards kidney failure. Can it be managed ?

I recently went for blood count and  my creatinine level was 1.34. Are my heading towards kidney failure. Can it be managed ?

Good to ask!: Creatinine is a breakdown product of muscle cells, and it's normally eliminated by the kidneys. When it's elevated, it may imply that kidneys aren't functioning as well. Since diabetes and high blood pressure are the main causes of kidney failure, make sure you're ok in these areas. Talk to your doctor for info on you, but a mildly elevated creatinine does not mean that your kidneys will fail. ...Read more

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What can cause magnesium levels to be real low? How can I elevate them? (I have sarcoidosis and res card Myopathy kidney failure and other diagnosis)

Magnesium deficiency: Is common in the general population without any medical problems. Since you do have medical issues particularly kidney failure you can be at a higher risk. One way to increase the magneisum is to take supplements. However, anytime someone has comornidities, I always recommend taking medication and supplements under physician guidance. ...Read more

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Lisonopril and spiranolactone dosage too high, caused acute kidney failure. Stop meds, got better. Creatinine levels fall monthly, now 1.6 is that ok?

Lisonopril and spiranolactone dosage too high, caused acute kidney failure.  Stop meds, got better. Creatinine levels fall monthly, now 1.6 is that ok?

Kidney failure: Did your doctor tell you why you had acute kidney failure (akf) on Lisinopril (l) and spiranolactone (s)? L causes akf, which is reversible, when l's stopped in cases of a renal artery stenosis. Pt's recover their original kidney function. Your creatinine (c) level of 1.6 may be abnormal if your c was 1.2 before the akf. You are 51 years old with CHF and chronic kidney disease, your c wont' be 1. ...Read more

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What are dangerous creatinine levels and can it lead to kidney failure?

Above 1.2: At most labs. It indicate renal abnormality if it's higher. When associated with elevated BUN or low GFR it indicates some type renal failure- see pcp. ...Read more

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What lifestyle changes can I make to help prevent kidney failure?

What lifestyle changes can I make to help prevent kidney failure?

Exercise: Maintain a healthy lifestyle with low fat food, low salt diet. Avoid excessive weight gain. Stay well hydrated. If you have diabetes or high blood pressure, make sure it is well controlled. Exercise is important to improve all of these factors. And see as doctor regularly. They can do blood tests to check for kidney disease since this is often a silent disease. ...Read more

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Dr. Ira Katz
522 doctors shared insights

Hemoglobin A1c (Definition)

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


Dr. Steven Ginsberg
1,284 doctors shared insights

Anemia (Definition)

A condition marked by a deficiency of red blood cells or hemoglobin in the blood, resulting ...Read more