Conversation: The conversation between human and AI assistant.
[|Human|] Hi,Could you please suggest the treatment of high creatinine and what can be changed in medicines ?Diseases- Old MI - 1992Diabetese - 2000 onwardsHypertensionStroke on left side -  2006 and 2013Urethra strictureLeft kidney is of small size by birthSurgeries-OIU - feb 2004Angioplasty - may 2012OIU - may 2013Medicines -Janumet 50/500  BDGP1   BDMETOLOR XR 0.125 BDECOSPRIN GOLD 20 MG ODDONEP 5 MG ODNEXITO 10MG ODACITROM 3MG ODHOMOCHEK ODROLIFLO 4+0.4 MG ODTest reports -Sample - 3rd AUG 2013PT - 15.6 , INR - 1.35S. CREATININE - 2.0SUGAR FASTING - 124SUGAR PP - 114BLOOD PRESSURE - 110/80WEIGHT - 80 KGAge - 57 years
[|AI|]  Hello, Your creatine values are slightly high and considering your weight and age your EFR is around 46 (COCKPIT AND FAULT EQUATION) which denotes moderate stage of kidney failure. It is very important for you to be very cautious and try not to let your kidneys deteriorate. Creatinine starts rising in blood only after if at least 50% of kidney nephrons are dead. Dos for you. It is better to switch to injection insulin must control your blood sugar blood pressure and serum lipids meticulously. Instead of METOPROLOL, you should be put on ACE INHIBITORS OR Arms. Reduce the consumption of mutton, beef reduce your exercisesAvoid painkillers Avoid nephrotoxic antibiotics like gentamicin reduce citrus fruits 24 hour urine estimation of protein Consult a nephrologist, and it would be best on your part if you are jointly managed by a planetologist and a nephrologist. Thanks