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<blockquote data-quote="SimonCrox" data-source="post: 2048282" data-attributes="member: 388174"><p>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:-</p><p></p><p><a href="https://www.nice.org.uk/guidance/cg182/chapter/1-Recommendations#classification-of-chronic-kidney-disease-2" target="_blank">https://www.nice.org.uk/guidance/cg182/chapter/1-Recommendations#classification-of-chronic-kidney-disease-2</a></p><p></p><p>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,</p><p></p><p>I would go for it, rather than wait for your renal function to worsen. With what you have been through, you can sort this.</p><p></p><p>Best wishes</p></blockquote><p></p>
[QUOTE="SimonCrox, post: 2048282, member: 388174"] 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:- [URL]https://www.nice.org.uk/guidance/cg182/chapter/1-Recommendations#classification-of-chronic-kidney-disease-2[/URL] 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 [/QUOTE]
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