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Diabetes medications and kidney damage

Five weeks ago my doc doubled my Metformin to one 500mg tablet, ER formulation, at dinner. He started me on the lowest dose of Trulicity same time. One week ago I had first increased dose of Trulicity (1.5mg). I also got bad flu Feb 1st, have been terribly ill. Pulmy says I have long flu, takes about three months to recover.
Just had labwork, and kidneys not happy. This happened to me once before, from NSAIDs, which I stopped immediately when kidney disease was diagnosed. My eGFR has been in normal range since the NSAID acute kidney injury. Now my eGFR has suddenly fallen, either due to the severe flu I had, or the new meds. Of course I will discuss with my doc, and insist on repeat labs, then figure out what meds to adjust, if anything.

What next meds are commonly prescribed, if the current diabetes meds have to be discontinued? Who has traveled this path before me?

  1. Hi . You've really been hit hard. I hope you recover fully and more quickly than most from long flu. I don't have any experience with kidney disease, but here in an article about caring for your kidneys when you have type 2 diabetes that might help: https://type2diabetes.com/clinical/prevent-chronic-kidney-disease. I hope you get input from others in the community and better guidance from your doctor soon. Thinking of you. - Lori (Team Member)

    1. Thank you for the link. I seem to have the whole metabolic package, and more. So have been on Carvedilol and olmesartan for years. Already have some diastolic dysfunction, keeping a close eye on my vitals.
      This flu is no joke. Besides being almost two months in, it has lowered my oxygen saturation, maybe messed with kidneys, caused erratic blood pressure readings, and spiked my blood sugar. Truly hoping the kidneys bounce back.

      1. I hope they bounce back as well, . Do you have support at home for these next few months? - Lori (Team Member)

    2. It’s more the other way around, spouse almost ten years older than I. Whichever of us is status quo helps the other, as able. But, even just having a driver is helpful when someone is extremely ill. Grateful to have the hubs here with me. He’s undergoing a bunch of testing right now, so it’s a good thing I’m past the worst. Heart monitors, oxygen monitors, sleep study, echo scheduled. Hoping he doesn’t have anything serious going on with heart right now. He mentioned to me that his Apple Watch was alerting him at night, heart rate dropping into the 30s. Yikes, low is good, but that’s cause to see the cardiologist. And his pulmy. Hoping here.

      1. I hope it turns out to be nothing serious. Keep us updated if you don't mind. I'll be thinking of you both. Sending lots and lots of posivite vibes your way. - Lori (Team Member)

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