The past week I had my monthly and quarterly meeting with my Dialysis Nurse. I collected a 24-hour urine sample – yes, still making some yellow fluid, and four collection bags for discharge from the Cycler wherein only 2.5 solutions were used. All the typical attributes of my dialysis health were checked – she listened to my heart, inspected my feet – some swelling, drew a blood sample, injected me with iron, and asked me a battery of questions, plus provided me with the Fresenius monthly educational packet. Took about 30 minutes and after collecting the bag of replacement dialysis support items provided by Fresenius – tape, and soap this cycle, I was on my way. As usual, the following day preliminary lab results were available via the Fresenius Patient Hub, and the following day detailed lab results were available. My detailed lab results in PDF format are available below for your download and/or viewing.
There is no concise or easy way to present a graphical representation of some of the lab results. I’m going to list 11 results followed by a screen capture of the same from the PatientHub. You can cycle down and visually ascertain what’s going on. I am not upset by any results. I would like to explain what’s going on with A1c. I started gaining weight and as I result I noticed via my CGM that my morning glucose reading was rising, not bad, in the 120+ range, but still up from my normal 90-110 range. I know that I am extremely sensitive to weight gain from a diabetic control perspective. I increased my Lantus by one unit to 9 from 8 as a result. This brought my morning/fasting glucose back down – it was 94 this morning and explains the full one-point drop in A1c.
Second comment, my Creatinine at 6.60 is up from 6.27 in the last lab. Inputting age=84, Gender=M into my eGFR app yielded an eGFR of 8 which it has consistently been over many months. You can refer back to the eGFR graphical analysis I blogged about a couple of days ago for an additional check.
Last comment: Note that my Hemoglobin at 11.6 continues to be high from the stated goal of 10-11. I would think that more red blood cells are good but intend to discuss this with my nephrologist meeting scheduled for later this week. BTW, Fresenius provided me with a full box of high protein bars at my lab meetup also. Thanks to them for this.
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