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Suggest Treatment For Renal Failure
My mother is diagnosed with CKD.She is a chronic diabetic patient with high blood pressure under control. She is on 40 units human mixtard (50/50) before breakfast+ 36 units subcutaneous (30/70) before dinner. She suffered from frequent UTIs since last one year and in the recent past she was admitted (sugar:560,serum creatinine:3.5) and administered high dosage of intravenous antibiotics.Thereafter when her sugar levels were under control and serum creatinine at 2.1, she was discharged and was suggested to take oral antibiotics to prevent recurrent infections. Thereafter her potassium levels started to increase (6.0) and with K bind, her potassium levels were lowered to 38. However,from past two weeks,her potassium increased from 3.8 to 4.4 and today it is at 5.3. Also, her serum creatinine last week was 2.2 and today is at 2.6.Treating doctor had advised her to take K bind and asked for a review after 2 days with reports.I would like to know with this background, is there a agressive traetment at this stage to stop further renal failure?
Mon, 23 Jan 2017
Hello and welcome to HCM.
As an Urologist,i can understand your anxiety.
Your mother has CKD and creatinine and potassium levels can fluctuate.
Both need to be repeated alternate day or third day,depending on condition.
There's no treatment to keep both levels in normal range all the time.
You've not written her age.She has diabetic nephropathy as cause for CKD.
Definitive treatment is a kidney transplant or maintainence dialysis later.
If you've any doubts,send it as a direct question to me,with all reports.
Dr.Matthew J. Mangat.
As an Urologist,i can understand your anxiety.
Your mother has CKD and creatinine and potassium levels can fluctuate.
Both need to be repeated alternate day or third day,depending on condition.
There's no treatment to keep both levels in normal range all the time.
You've not written her age.She has diabetic nephropathy as cause for CKD.
Definitive treatment is a kidney transplant or maintainence dialysis later.
If you've any doubts,send it as a direct question to me,with all reports.
Dr.Matthew J. Mangat.
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