My mother 68 recently diagnosed with chronic kidney disease and was admitted for pulmonary edema her sugar level suddenly went to 370 was on tab before. But now on insulin 6 units 3 times of regular and if pp at night more then 200 then rapid 2 units for 200 to 250 4 units 250 to 300. Now her sugar level fasting is in the range 100 to 130 and pp is 140 to 250. My question is that is it compulsory to take insulin can she switch to medicines. As as a elderly person she is getting tensed with pricks But heard that for chronic kidney disease patients tablets will effect the kidney please advice. One more concern like there are different tablets so is the insulin types are also different.
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Hello, Thanks for the query. Chronic kidney disease is one of the often seen complication of long standing diabetes. ANti -diabetic drugs do not cause damage to kidney, it is the diabetes itself which leads to kidney disease. Plus with such high glucose levels Insulin is the only best treatment. Oral drugs may not afford necessary control as her pancreas (beta cells) is unlikely to produce adequate insulin. Hence, supplement is essential. Insulin pens are a good way to inject, very much painless and easy to adjust the dosage. There are different types of insulin, but I am sure doctors have already given her the best suited one. Thanks.
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