Annb
Expert
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- Type of diabetes
- Treatment type
- Insulin
Him sorry to hear of your troubles. I'm not much into guidelines, but the NICE guidance is here , and it is useful for you IMHO:-
https://www.nice.org.uk/guidance/cg...ns#classification-of-chronic-kidney-disease-2
If your e GFR was 70 last year and it is now 42, then that is more than a 25% drop in 12 months and NICE says you should see a specialist. One is not allowed to recommend treatment or diagnoses here, and one should never be disparaging of other healthcare professionals cos we don't always know the full story, but if I was you, I would see a different GP, tell him/her about your drop in renal function and proteinuira and ask to be referred to a specialist. They might prescribe drugs such as ACE inhibitors that preserve renal function, and they would look for anything else that might be impairing your renal function,
I would go for it, rather than wait for your renal function to worsen. With what you have been through, you can sort this.
Best wishes
Sorry I didn't reply to your kind words before this - I didn't realise that there had been a response. I had another blood test today, but haven't had the result yet, of course. I also saw a medical consultant at the hospital about my liver problems but they just want to leave everything with my GP. My GP is a very kindly man, but he is the only one available here and he seems happy just to keep a watching brief over these various ailments. He does say that he is concerned (actually more concerned about the possibility of my liver cirrhosis resulting in cancer than in my kidney problem) but no treatment is on offer.
I can't help thinking that the large proportion of protein I have been consuming whilst low-carbing might have had an effect on my kidneys. No point asking about that because no-one here believes in low-carbing and they are bound to say "I told you so..."