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Old 05-10-2010, 12:50 PM   #1
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Diabetes and stage 3 kidney disease

My husband, who has stage 3 kidney disease, had his diabetes medication changed from Glyburide to Glipizide, as the Glyburide was no longer helping. The Glipizide doesn't seem to be working much better. His morning fasting nos recently have been in the range of 140 - 163. He"s also taking an anti-biotic for a bronchial cough. Could this be affecting his nos?

Another question. Can people with stage 3 kidney disease use insulin? He is not on insulin yet, but we will have to see what his doc suggests.

monte

 
Old 05-10-2010, 01:07 PM   #2
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Re: Diabetes and stage 3 kidney disease

Yes, folks with diabetes (hi Monte!) can definitely use insulin. In fact, in some ways it's easier as you don't have to worry about how well/poorly it is being removed from the system or it causing additional damage.

The only thing to be aware of when using insulin with progressive renal failure, is that as the damage progresses, typically less insulin is required. I'm not sure of the exact mechanism, but I know many folks who use insulin that require a lot less as their kidneys fail. Simple blood sugar monitoring helps.

Yes, any infection (and antibiotics too) can raise your blood sugar levels. In fact, your glucose can continue to remain high for a while after even when you are "over it".
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Last edited by Cora1003; 05-10-2010 at 01:08 PM.

 
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Old 05-10-2010, 01:42 PM   #3
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Re: Diabetes and stage 3 kidney disease

Thanks Corah, you're a brick

Waiting to see what the doc says now. I'll let you know.

monte

 
Old 05-13-2010, 12:33 PM   #4
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Re: Diabetes and stage 3 kidney disease

Hi Cora,

The doc said to take a WHOLE Glipizide each day for several days, instead of only half when his nos warrant it, and this method seems to be working, as his nos have improved. I wish docs would be more specific. When they use language like '' several'' or ''a few'' - that could mean anything! I'll check with him tomorrow as my husband as an appt. with him then. Nothing about insulin was mentioned so I guess he won't need to go on that now. His last eGFR came back at 36. Tomorrow he does more labs for his kidney, so I'm keeping my fingers crossed!

Thanks again Cora,

Keep well,

monte

 
Old 05-13-2010, 12:40 PM   #5
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Re: Diabetes and stage 3 kidney disease

Hi Monte. While I'm not a doc, his "higher" numbers certainly didn't sound high enough to warrant insulin.

I know how frustrating it is to get "baby talked" by the doc. Don't let them get away with it. If they give a vague answer, ask for specifics. Numbers, definitions, whatever. It's a hard habit to get into, but it's worth it. Even bring along a notepad and paper so you can do research after.

Keep me posted on the kidney issues. Best of luck.
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Old 05-15-2010, 07:16 PM   #6
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Re: Diabetes and stage 3 kidney disease

Hi Cora and everybody,

My husband's eGFR as from his last check (yesterday) was 36. Creatinine was 1.8. The same as last time, so at least he's stable. One weird thing. Two different docs both ordered a potassium test on the same day and presumably done at the same lab (Kaiser Permanente in West Los Angeles). One came back at 4.7 and the other came back at 4.4. Strange. Potassium is SO important in kidney disease.

Thanks again, Cora.

monte

 
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