Conversation: The conversation between human and AI assistant.
[|Human|] I was told by phone my lab work for kidney function was borderline but with no instructions from the dr of what I can do for it, can you give me any info. I am also uncontrolled diabetes type 2.blood pressure is controlled with meds . but I haven t been able to take insulin shots due to either bad side affects or lack of insurance. I am however taking 4 metformin and 2 glimepiride ( the limit of dose that can be given) daily.
[|AI|]  Hi Welcome to Chat Doctor . Please see that borderline kidney function with diabetes should be taken seriously. You should have disclosed your blood urea and serum creatinine level. As Metformin is safe at up to creatinine 1.8 and your BP should be maintained below 140/90 and blood sugar should be below 140 mg / 100 ml. If your serum creatinine level is higher than 1.8 and GFR is low then you should go for insulin or Dynagliptin as it is safe in kidney impairment. If you have any further query then you can come back to Chat Doctor I will definitely help you and guide you appropriately. With Regards Chat Doctor.