My husband, a 73 yr. old, who was diagnosed with Type II Diabetes approximately 10 years ago, just received his latest blood work from his doctor’s office. The ones he received are Creatinine – 2.1, BUN-41, Anion Gap-24, & K-5.2. Any information you could give us would be appreciated. Thank You.

The information that you present would be consistent with diabetic kidney disease, however I cannot make a specific diagnosis without performing a complete history and physical examination.  An anion gap of 24 is a very high anion gap ( a normal anion gap is about 12.  You should discuss this with your primary care physician (PCP).  I suggest consultation with your husband’s PCP regarding his kidney disease and the reasons for the elevated anion gap.

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