Conversation: The conversation between human and AI assistant.
[|Human|] I am a 46 type 2 diabetic with elevated levels of protein in my kidneys but which is coming down. creatinine level is normal. my last A1C is borderline and also coming down. i have a swollen left foot, excellent pulse, no pain at all and the swelling is mid foot to toes. also very dry on my toes. i have been to kidney specialist he gave me water pills those seem to have reduced swelling some he said all my blood work would not indicate there is a problem with kidneys or diabetes but has not given me a clue as to what the problem is and i cannot afford to keep going to doctors!! What should be my next move?
[|AI|]  Hello, Since you have a history of swollen foot & elevated protein levels you are suggested to get clinically examined by a Nephrologist / Urologist. Get Imaging tests, Kidney function tests, Urinalysis, CBC, etc. done. Healthy kidneys do not allow more protein to pass through the filters. But when the kidneys are damaged, albumen leaks out from blood into urine.  Presently you should cut on salt & avoid taking dairy products, cheese, canned food, cut on noodles & bread. Fish, eggs & meat can be taken once in a day.  Get assessed & treated at the earliest. Nutrition & amount of protein to be taken will depend upon the stage of the kidney disease & body size(BMI). Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.