I’m diabetic and I have stage 4 CKD. I am unfamiliar with the med Dapaglifozin. You say it is a med for diabetes? Your doc has you on “Losatan”? Do you mean Losartan? That is a med for treating blood pressure. I’m not understanding how swapping Dapaglifozin for Losartan makes sense?
Diabetes and high blood pressure are common leading causes of CKD. I see an endocrinologist for diabetes care and a nephrologist for kidney care. They are part of the same healthcare system. They have access to my records and can collaborate on my healthcare plan.
My nephrologist also prescribes blood pressure meds for me. One of which is Losartan. My blood pressure is well controlled and they have me monitoring it at home. You can get a cuff and recording system to use to share your records with your provider.
Is your nephrologist your main provider? Are you Afro-American? I read in a Mayo Clinic Press book that there is a gene that folks of African descent can have that predisposes them to kidney problems. The book is called “The Body’s Keepers” by Paul L. Kimmel MD I think. I don’t recommend reading the book because it was a terrible slog getting through it. But I never heard of that gene before and it’s potentially rotten effect on people of African descent. I think the gene was called APOL-1 or something like that. Various clinical trials and research have stemmed from it. Anyway it might be something you could ask your nephrologist about?