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Creatinine Serum rise
I am a 10 year Type 2 diabetic with HBA1C in the 6 to 6.6 range.  My recent blood tests showed a creatinine serum reading of 1.35 and a lab limit of 1.27.  My Glom Filt rate was 54 with a limit of >59.  I have noticed that it has changed from about 1.0/1.5L in 2003 to about 1.35/1.27L in 2008.  Is this cause for alarm and does it indicated degrading kidney function.  Is there anything that I should do to improve this result?  
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