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Stage 3B CKD
My father recently received a diagnosis of stage 3B Chronic Kidney Disease (CKD). Notably, his creatinine levels were normal just 1.5 years ago, despite having high blood glucose levels at the time. Although his glucose levels have been well-managed with medication since then, his serum creatinine has risen to 1.9, with a corresponding GFR of 38. Is it possible to stabilize his creatinine levels and halt further progression of the disease?
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Avoid fried food and spicy food
Water intake more
Green leafy vegetables and
Do connect and consult
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Consult with a Nephrologist
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Can help you with the next course of action and treatment plan. Kindly consult via whatsapp at nine zero two nine six zero zero four seven zero.
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Proper evaluation needed
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Need to be evaluated and revised treatment needed
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Kindly connect.
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HIMMS is the best place. Or corporate sector hospital.
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Kindly connect….
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Dr. Shivam Mishra
General Physician
4 yrs exp
Mumbai
**Specialist Doctor’s Response:**
**Re: Stage 3B CKD – Stabilizing Creatinine & Halting Progression**
Dear Concerned Family Member,
Your father’s recent diagnosis of **Stage 3B CKD (GFR 38, creatinine 1.9)** despite previously normal renal function is indeed significant. Here’s what you should know:
### Key Points:
1. **Possible Causes**:
- Rapid progression from **uncontrolled diabetes** (even if now managed) is a leading factor. Other causes (e.g., hypertension, infections, medications) must also be evaluated.
2. **Stabilization Potential**:
- **Yes, progression can often be slowed** with aggressive management of underlying conditions (e.g., strict glycemic control, BP <130/80 mmHg), dietary modifications (low salt/protein), and avoiding nephrotoxic drugs (e.g., NSAIDs).
3. **Urgent Actions Needed**:
- **Nephrology Consultation**: Essential to identify the exact cause, assess for proteinuria, and tailor treatment (e.g., SGLT2 inhibitors/ACE inhibitors if indicated).
- **Lifestyle Interventions**: Fluid intake monitoring, smoking/alcohol cessation, and weight management.
### Next Steps:
- **Do not delay evaluation**. Early intervention can preserve kidney function and prevent complications (e.g., anemia, bone disease).
- I recommend a **detailed consultation** to review his reports, optimize medications, and create a long-term plan.
For immediate guidance, contact me on WhatsApp at **Eight Zero Zero Nine Eight Two One Three Three Two** to schedule an appointment.
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Dr. Javed Akhtar
General Medicine
4 yrs exp
Guwahati
Consult
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Dr. Savita Thakur
General Physician
9 yrs exp
Delhi
Please take your father to a good nephrologist.
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Dr. Anuj Mothsra
General Physician
5 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Nimmi Mulwani
General Physician
10 yrs exp
Ahmedabad
Yes it is possible. He needs further evaluation by a nephrologist.
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Dr. Manoj Kumar
General Physician
9 yrs exp
Dehradun
Need few more details
Kindly consult
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Dr. Anubha Singh
General Physician
4 yrs exp
Jhansi
If you require assistance or have any health concerns, feel free to reach out for a consultation. Your well-being is my priority, and i'm here to support you on your health journey.
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Dr. Ravi Kumar Nadella
General Physician
17 yrs exp
Hyderabad
Yes, possible
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Dr. Chaithra H
General Physician
4 yrs exp
Bangalore
Needs to be evaluated.
Do Consult.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.