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The Doctors Lounge - Nephrology Answers

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Forum Name: Nephrology Symptoms

Question: Need Opinion


Scooby2 - Fri Aug 19, 2005 4:06 pm

My son is 21 yrs. old and has Diabetes- he is currently incarcarated and has been for about 13 months and will be getting out in about 3 1/2 weeks, he has had many problems while in jail and they just recently did a creatin and a Hemoglobin a1c test and his creatin level is 1. 2 and the other was 10. 7 he has trouble breathing and pain in his lower back and muscles, please explain what all this means?

Thank You,
Worried Mom
nys1emt - Sat Aug 20, 2005 5:59 am

Hi worried Mom,

First, relax and take some deep breaths - he will be home in a few weeks and you can have these tests done again at your family doctor who can sit and explain what these tests mean. And you absolutely should make sure he has this done. Make an appointment for him now, so that you don't have to wait after he gets home. But for now, to answer your questions and help ease your mind if I can - Creatinine levels are considered in the reference range if they are about .7 - 1. 3 . At 1. 2, he seems to be ok here. This test is frequently done in conjunction with others to determine that all is well with things like kidney function in someone who has Diabetes. Creatinine is produced by the body as a byproduct of muscle activity. Men tend to have a higher level than women because they have more muscle mass.
Hemoglobin is the protein within blood that carries the oxygen to the cells . a1c tests effectively measure the glucose levels in the blood over a period of time, rather than tests that reflect what the patient may or may have not eaten recently. This test is not used to monitor a daily regimen, but again, how he is doing over time. A goal for this is considered around 7%. Because you did not relate whether his test info was 10. 7 "%" or some other value, it is hard to determine whether this is relevent, other than to say that diabetics do historically have higher percentages and these need to be interpreted by your Dr as each patient is different.
So it sounds like the institution he is in, is running the right types of tests to monitor his condition and that should ease your mind knowing that.
Best wishes!

nys1emt
Scooby2 - Sat Aug 20, 2005 2:26 pm

Nys1EMT - Thank you for your response and I will get him set up with a Dr. right away so he can follow up!

Thank You again :)

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