A:
Since you have diabetes and hypertension, the kidney damages might be caused by high blood pressure and high blood sugar, of cause there might be other factors, more than 10 years’ high blood pressure and blood sugar will definitely cause renal damages. Therefore it is very crucial and necessary to first bring the blood pressure and blood sugar well under control to avoid further damages.
GFR (glomerular filtration rate) can reflect the severity of kidney damages and the remaining kidney functions and GFR <15 mL/min/1.73 m2 indicates that the disease has progressed into end stage renal disease and renal replacement therapy is needed such as dialysis and kidney transplant. And generally speaking when
creatinine reaches 500, dialysis will be ordered by the doctors.
And I can understand that you do not want to take dialysis for fear of can not get rid of it and have to take it for the rest of life.
Dialysis is an important renal replacement therapy and it can help replace the kidneys’ functions to clear creatinine, urea nitrogen, uric acid and other wastes and toxins out of the blood. But it can not do any help to recover and improve kidney functions or reverse the continuous deterioration of illness progression, therefore more effective treatments should be sought or the kidneys will become completely failed.
And if the kidney functions can be improved, patients need not to rely on dialysis or at least the intervals of dialysis will be extended and the frequency of dialysis will be decreased. And the discomforts and side effects of dialysis will be alleviated.
Search
