Conversation: The conversation between human and AI assistant.
[|Human|] im a type 2 diabetic since last 14 years i always try to keep my fasting below 100 and my PP below 150 & HbA1C below 6.5 but in december 09 my cerum cretinine was 1 in feb10 1.1 , in june it was 1.2 n now it is 1.3so it is increasing at the rate of 0.1 for every quarterso kindly giv suggestions to control it so that it culd be controlld within the limits
[|AI|]  Dear Friend, greeting s from Chat Doctor. Increase in serum creatinine gradually indicates deterioration in the functions of kidneys. You need to get evaluated properly. Diabetic are prone to Nephropathy especially if sugar levels are not in proper control. We need to get your microalbuminuria, HbA1c, fasting and post pron dial sugar, lipid profile, thyroid hormone levels, creatinine clearance for knowing your kidney status and GFR. Usually in diabetic patients are put on ACE inhibitor s or Arms to prevent Nephropathy especially now that your creatinine levels are increasing you must start. Meet your doctor with the report s and keep your sugar levels in control. Proper lifestyle changes are also needed. Thank you