Hello all, I have been posting all over these boards lately about my husband so now on to this one. He has been having some problems with GERD and had an ultrasound of his abdomen (not kidneys for some reason), which showed a spot on his liver. Went to get an MRI of his liver and they said can't give you contrast because your creatinine is too high. (MRI came back normal Thanks God). Had EGD today with erosive esophagitis, gastopathy and mild duodenopathy (not really what I writing about). About a week ago we had a birthday party at my mom's house and she was checking her sugar. Just for the fun of it(yeah I know weird sense of fun) I checked my sugar and my husbands. Mine is fine. His sugar was 528. Since that time we went out and bought a meter becuase he refuses to call the doctor about it. It has not gotten that high again, but is staying in the 250 to 325 range, even fasting. Today we got the results of the blood test they did for the MRI. Creatinine 1.96, BUN 39 and GFR 37. Potassium was slightly high at 5. Again he refuses to go to the doctor. He says he has an appiontment in April and he wants to try to fix everything with diet and exercise between now and then.
My question is, because I am seriously freaking out here, is there a chance he is going to do permenant lasting harm to himself by waiting another month to go to the doctor about this stuff? He says one thing at a time and he is still waiting for results of biopsy of his esophagus from today's procedure. Oh yeah also he has had high blood pressure (crazy numbers like 225/175) for like the last 9 years and now all the sudden it is dropping to 90/60, 110/58 and such and he is feeling faint a lot and even fell once. He is on BP medicine, but has been for 4 years and they have never come this low.
Anyway, I guess I just needed to rant a little bit to people who might understand why I'm worried. There is nothing I can do about forcing him to go to the doctor if he won't go.
At this point with his kidneys, waiting a month will not cause any harm, especially since his potassium is still in the normal range. Given that his creatinine is almost 2, this means he has lost about 50% of the function. Don't worry, he can live a long time with cr. at that level, but unfortunately, the damage is not reversible. It was possibly a combination of the high bp and the high glucose. He definitely needs to see specialists for both. It is very important to see a nephrologist (kidney specialist) to get the most updated care possible. This doc will also be able to deal with the high bp. He absolutely has to get the sugars down too. You will hear a lot about low carb and eating a lot of protein to get this to pass. It can be dangerous to put too much pressure on a damaged kidney by eating a lot of animal protein. You will need to find a happy medium. Again, talk to the neph about this.
Hope this helps a bit. Feel free to ask lots of questions.