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Infection, small kidney with KETONES in urine. DIBETES?

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My daughter 9 as Kidney problems , she as a small left Kidney 17% and they fixed the reflux. Since May she had a big infection and she as not been her normal self, she is very tried all the time and has to go for a wee all the time. She as Leukocytes 70+ (Protein, blood not all the time) and Ketone's 1205 last tested this morning. She is on low dose trymetrepin. The docs have never told me why she as Ketone's in her wee all the time i thought that was to do with being a dietetic? I make shore she drinks plenty in a day also.

Category: Family Physician-GP

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Category: HIV- AIDS Specialist
 31 Doctors Online

Hello,
Thank you for your query at DoctorSpring.com
With a PP of 304, and even FBS 184, you should be on medicines for sure. But it is surprising this values came out of nowhere. When was the last time you got your sugar checked?
Assuming you are on a strict diet with adequate exercise, if that is not keeping your blood sugar levels under control, you need medicines. Also before i suggest any, I will advise you to get HBA1C checked and you can tell me your values.
Based on HBA1c ( it will reflect your sugar levels from past 3 months ), I can advise you correct medicines.
Regards.


Patient replied :

Today I had done the clinical examination and report is enclosed. my HbA1c is 8.2 and sugar level is 157 and 250. Please suggest suitable medicines

thanks

R kannan
09962077712


Hello,
This consult was generated over a month ago.
Still I have opened the consult and I am responding to this one follow-up.
HBA1c 8.2 indicates that your sugar values have been under very bad control over the past 3 months.
I will advise immediate lifestyle modification and a visit to the dietitian. to fix up a diet for you.
Also you can start on Metformin 500 mg twice daily as of now. This medicine along with diet modification and exercise should be continued for 3 months. If the sugar values still do not improve, then further medicines can be added.
Regards.


Dr. Jaydeep Tripathy
Category: HIV- AIDS Specialist
Experience: 
MBBS from Sri Ramachandra University in December 2011
M.Med (Family Medicine) - TNMGR University, Chennai
MBA-MPH in Public Health in March 2016, SRM University
Finished AFIH in March 2016, SRM University
MRCP ( UK ), Internal Medicine, Royal College of Physicians, June 2016
Fellowship in Diabetology from Martin Luther University in January 2017

Currently Resident Physician, in MD Radiodiagnosis - Kamakshi Memorial Hospital, Chennai
Dr. Jaydeep Tripathy and 4 other Medical Specialists are ready to help you

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