Is Dialysis Required For Dropping Creatinine Levels?

Hi,

My Mother, 62, a diabetic for the past 10 years, 6years on insulin, suffered Hypoglycemia three weeks back. Her creatinine started to spike with potassium, at their peeks Creatinine went up to 5.1 and potassium to 6.5. Now after two days of fluids in a hospital, her creatinine levels dropped to 4.8 and potassium under normal range 4.5.

Initially, doctors at her current hospital were advising Dialysis, three times a week, life long, but after talking to the head of Nephrology, they said she is responding well to medicines and tests, but sugar levels are fluctuating 100-300. And they will decide in 2-3 days for dialysis.

However, when I talked to doctors at AIMS (All India Medical Sciences), they said they don’t advice Dialysis for patients with constant creatinine at under 5, and suggest decreasing it by food control , diet and medication. Even if Dialysis is done, it will be maintenance one, not thrice a week/lifelong.

These are the questions I have:

1)     Dialysis is needed at all? If Creatinine keeps on dropping slowly, even then Dialysis would be required?

2)     If Dialysis is needed, then it will be periodical, lets say monthly or twice a month, once in two months OR thrice weekly/lifelong.

3)     Kidney replacement for her is an option? She has diabetes.

Need your advice ASAP, as my mother and my family would not like to opt for dialysis and would prefer to keep her Creatinine levels down with strict diet, and medication, Yoga and meditation.