Diabetes

Question
Posted by: Lynda | 2012/02/09

Q.

Haemoglobin

Hi, my best friend &  business partner is not well. I donated a kidney for him 18mnths ago (Chris Barnard Mem). The kidney failed 09/2011. He has had low heamoglobin since Nov, 2011 &  taking Eprax. I noticed recently that he has lost an incredible amount of weight which would not be noticed at dialysys weigh-in''s. Dr''s are not keen on plasma transfusion, have increased Eprax to daily dosage.
Obviously, the effects of this problem are constant tiredness, inability to concentrate &  now, the extreme weight loss.
We were told pre-transplant that his body has endured too much damage as a result of diabetes and that he is in heart-failure.
My question is of a business as well as an emotional nature..... what chance of him recovering to a somewhat normal functioning state? I need to make some incredibly difficult descisions &  not wanting to be too hasty, need to know if there is honestly any hope of recovery. He is 59 now.
I would appreciate your absolute honest opinion please.
Best rgds
Lynda

Expert's Reply

A.

Diabetes expert

Dear Lynda
By the time a diabetic patient requires dialysis, there has been a certain toll taken on the body, although the renal physicians now tend to start earlier to try and lessen the toll. The current symptoms certainly seem to be related to the fact that he is back on dialysis, has heart failure and a low haemaglobin. The weight loss does need to be looked at, but may from the heart failure and being on dialysis. Your last question is difficult, and should be answered by the renal doctor, as it would be unfair of me to comment not knowing the patient, i.e. I don’t know the extent of his current heart failure, and also whether he is line for another kidney or not. I also don’t know if he has any other complications from diabetes like nerve damage or vascular disease involving his legs. Certainly I have patients on dialysis who are still able to work, and so I think you need an honest answer from your current doctor.

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2
user comments

C.

Posted by: Randy | 2012/06/01

There are no herbal cures for deiaetbs. According to the FDA that has run hundreds of clinical trials and testing for just as many so called herbal cures, non have ever been found to have any significance on treating deiaetbs. This is one of the reasons that the FDA has not approved any of them for use in treating deiaetbs. Even things like cinammon, and chromium picolate have absolutely no significant actions in lowering blood sugars. (although some people swear by them) I went to a very reputable chinese doctor for acupuncture and herbal treatment and ended up in the hospital for 2 weeks and almost died from it. Herbal remedies may be fine for some things, but deiaetbs in NOT one of them. I go to diabetic ed. classes every month and have talked to dozens of people who tried herbal treatments with no results, and some actually had adverse reactions. It has also been the subject of a few of our classes..

Reply to Randy
Posted by: Diabetes Expert | 2012/02/10

Dear Lynda
By the time a diabetic patient requires dialysis, there has been a certain toll taken on the body, although the renal physicians now tend to start earlier to try and lessen the toll. The current symptoms certainly seem to be related to the fact that he is back on dialysis, has heart failure and a low haemaglobin. The weight loss does need to be looked at, but may from the heart failure and being on dialysis. Your last question is difficult, and should be answered by the renal doctor, as it would be unfair of me to comment not knowing the patient, i.e. I don’t know the extent of his current heart failure, and also whether he is line for another kidney or not. I also don’t know if he has any other complications from diabetes like nerve damage or vascular disease involving his legs. Certainly I have patients on dialysis who are still able to work, and so I think you need an honest answer from your current doctor.

Reply to Diabetes Expert

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