Stage 4 CKD

Posted by b2byrne @b2byrne, May 18, 2024

Hi,
Last week Nephrology informed me that my kidney now functioning 22%
Even though I've been under the clinic for about 7 years I still struggle to understand why I have kidney problems. They don't know why either - none of the listed possible causes seems to apply to me but today on your site I read being African descent can be a factor. The kidney specialist I've been under has never mentioned this.
They now want to change my meds from Losatan to Dapaglifozin. Although it's medication for diabetes (which I do not have) he is telling me it could work to slow down the decline. But also it might not have any effect. Should I trust this? The side effects are horrendous.
Since they discovered I have CKD my once unbelievably low blood pressure has been rising. I put this down to the meds they've been giving me over the years. My blood pressure is now normal. Previously the phrase was "if you were not sat here I would say you were dead" it was that low. But I was a very active person in great health so it never bothered me. Has anyone out there used this Dapaglifozin as part of their treatment? Did it make a difference? The side effects are horrendous. I am so fearful of going on it. I am fearful my blood pressure keeps rising. I am fearful I have since developed high cholesterol since CKD treatment began. What's next?

Interested in more discussions like this? Go to the Chronic Kidney Disease (CKD) Support Group.

I’ve been following this thread. I’ve been labeled stage 4 CKD by my nephrologist. I am also diabetic and have a history of hypertension. Both are better controlled now. What I find interesting is that I was hospitalized at age 5 for Glomerular Nephritis (or so I’ve been told). I don’t remember except that I wasn’t allowed to stand or walk for some reason. People had to carry me everywhere. My mother tried a baby buggy or stroller and my older brother mercifully intervened suggesting a wagon. I was force fed copious amounts of water and though I know it is good for me, I dislike it to this day (I’m 67!). Even after I was discharged to home a visiting nurse came to do blood draws and administer shots. I spent the summer between kindergarten and 1st grade sitting on the couch or laying in a hammock on the back porch. My mom arranged play dates (before it was popular) for kids to play dolls, board games set up on a card table next to my perch and I colored a lot (including the bricks on the outside wall of the back porch until it was discovered). I also autographed those bricks. Thank God we didn’t have permanent markers in those days!

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Profile picture for b2byrne @b2byrne

Hi,
"Do you mean Losartan? That is a med for treating blood pressure. I’m not understanding how swapping Dapaglifozin for Losartan makes sense?"
Yes Losartan is what I am currently on. I was initially put on Simvostatin when they first diagnosed CKD. However, when the High Cholestrol was diagnosed and the Cholestrol specialist advised I be put on Rosuvastatin, I was taken off Simvostatin and put on Losartin. (to ensure my blood pressure did not drop any further). I now remain on Atorvastatin & Ezetimibe for High Cholesterol and Losatin for my kidney function.
To be honest I can't keep up with the med changes and what they are meant to do. I wrote on here seeking advice and wondering if I had been too trusting of my medical team over the years.
I am Black British - and have been tested for the "the gene was called APOL-1 " I don't have it. My condition is a mystery to everyone. They don't know why my kidney function keeps dropping, and all the meds are just trial and error it seems.

I recall in my 20s during a holiday in India I had a urine test done. I was told then I had a lot of protein in my urine. At the time it didn't mean a lot to me. (that's only recently coming back to mind. that was 30+ years ago)

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This is probably a silly question, but have you ever been tested for Lupus?

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Profile picture for cpintenich @cpintenich

This is probably a silly question, but have you ever been tested for Lupus?

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I’m so sorry . I meant to respond to the person you are replying to.

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