Recommend treatment for kidney failure with high sugar levels
Patient: Sir, my father is 68 years old & have CKD, both the kidneys have failed ,have sugar level high & on dialysis. Last few days he become rest less, not even sleep for a moment, severe body pain,movement of limbs is stopped or even very pain full,his Hb at present is 5.6 & we have tranfuse at least 12 unit blood in last 3 months ,pl. advise what ido . Doctor: Hello and welcome to HCM.As an Urologist and transplant surgeon,i can understand your anxiety.Your father has end stage kidney failure,which can be treated with dialysis or a kidney transplant.Anemia is usual in CKD and low blood level, is treated with a packed cell transfusion,erythropoietin injection,and oral iron tablets.His Hb,creatinine,FBS,A1C,LFT,platelets,and Na,K,is done with 3 days gap.His Hb,sugar,creatinine and electrloytes must be under strict control.If you've any doubts,send all the reports to me,as a direct question.Dr.Matthew J. Mangat.