CKD stage 4
Posted: Sun Jun 12, 2016 6:39 am
My mum has type 2 diabetes, with a longstanding decline in Kidney function, it has decreased from 40% to 20% over the past 10 years. The GP has asked us to stop for the 5mg dose of ramapril for the time being and retest in 2 weeks. Also blood glucose levels for many years on metformin, gliclizide and pioglitazone were in the region of 6.9-9.5. Now these are reducing and she no longer takes Gliclizide, Metformin stopped in recent weeks too. Her glucose levels now seem to be settling at about 4.8-5.5.
Has anyone else experienced this?
One of the major problems is due to other health issues it is sometimes imposssible to attend any hospital appointments so a clear diagnosis other than the assumption of diabetic kidney disease is difficult to make.
She is 74 years old, has suffered more than 40 years of that time with one problem or another with varying degrees of both physical and mental well being, we thought we'd lost her 10 years ago when she went into multi organ failure due to Beta Blocker toxicity so sadly we know that her organs have been damaged it is just a shock to have to realise that she will probably decline as opposed to suddenly leaving us.
No really sure what I would prefer! The only good thing is that I am able to provide much of her care alongside a team of 3 other carers thanks due to a great Social Worker and Pyschiatric team who have supported and fought for us to receive Direct Payments rather than have the Local Authority provide the care. We can be as flexible as her needs are, some days more care when things are bad sometimes less when things are good.
W are now worried as to prognosis as she is not a candidate for dialysis due to other health issues.
Any support or info gratefully appreciated.
Has anyone else experienced this?
One of the major problems is due to other health issues it is sometimes imposssible to attend any hospital appointments so a clear diagnosis other than the assumption of diabetic kidney disease is difficult to make.
She is 74 years old, has suffered more than 40 years of that time with one problem or another with varying degrees of both physical and mental well being, we thought we'd lost her 10 years ago when she went into multi organ failure due to Beta Blocker toxicity so sadly we know that her organs have been damaged it is just a shock to have to realise that she will probably decline as opposed to suddenly leaving us.
No really sure what I would prefer! The only good thing is that I am able to provide much of her care alongside a team of 3 other carers thanks due to a great Social Worker and Pyschiatric team who have supported and fought for us to receive Direct Payments rather than have the Local Authority provide the care. We can be as flexible as her needs are, some days more care when things are bad sometimes less when things are good.
W are now worried as to prognosis as she is not a candidate for dialysis due to other health issues.
Any support or info gratefully appreciated.