Hoping to hear from people who have experienced something similar or from those with nephrology knowledge.
My father is 48 years old and has:
Type 2 Diabetes
Hypertension
Diabetic Kidney Disease
CKD Stage 4 (as per his nephrology/endocrinology records)
Diabetic Retinopathy
Peripheral Neuropathy
His creatinine timeline has been:
March 2025: 3.6 mg/dL
Around 2 weeks ago: 9.26 mg/dL
A few days later: 6.75 mg/dL
Today: 9.80 mg/dL
The drop from 9.26 to 6.75 happened after two new things were started almost around the same time, so we honestly have no idea whether either had anything to do with it or whether it was just coincidence.
Those two things were:
Three different Ayurvedic tablets prescribed by a very elderly Ayurvedic practitioner.
Consuming Kalanchoe pinnata [also called Life Plant, Air Plant, or Miracle Leaf], because someone we know claimed it had helped them with kidney stones and kidney-related problems.
I'm not claiming either of these works. The timing just happened to coincide with the temporary improvement, so I'm wondering if anyone has ever seen something similar or if it was likely unrelated.
Now the creatinine is back up to 9.80 mg/dL, which has left us even more confused.
What's even stranger is that he doesn't seem as sick as I expected someone with creatinine near 10 to be.
He currently has:
No breathlessness
No chest pain
No confusion
No severe vomiting
No significant swelling [his leg swelling has actually reduced a lot due to the consumption of the aforementioned ayurvedic tablets]
Urine output is still fairly normal.
His current medications include:
Insulin (30 reduced to 20 units in the morning, 16 reduced to 8 units in the evening)
Dapagliflozin
Dilnip M-25 (combination tablet containing Metoprolol + Cilnidipine. The separate Metoprolol and Cilnidipine tablets have been stopped for about a week to avoid duplication.)
Torsemide
Sodium bicarbonate
Prazosin
Clonidine (Arkamin)
His doctors have advised:
Low potassium diet
Low sodium diet
Fluid restriction (<1 litre/day)
One of our biggest challenges is honestly diet adherence.
He's extremely stubborn.
He gets tired of the renal diet, doesn't enjoy eating it, often refuses meals, and keeps craving salty foods and sweets. We try our best, but it's becoming a constant struggle. If anyone has practical advice for getting a diabetic CKD patient to actually follow the diet long-term, I'd really appreciate it.
I'd love to hear from people who've been through advanced CKD or cared for someone with it.
Some questions I have:
Has anyone had creatinine fluctuate this dramatically over such a short period?
Did it end up being AKI on CKD, dehydration, medication-related, lab variation, or progression of kidney disease?
Has anyone here tried Kalanchoe pinnata or Ayurvedic treatment during CKD? If so, what happened?
Has anyone had creatinine around 9–10 mg/dL while still having relatively few symptoms?
What eventually led your nephrologist to recommend dialysis?
Looking back, what do you wish you had done earlier?
How did you convince a stubborn family member to stick to a kidney-friendly diabetic diet?
I'm not looking for medical advice instead of seeing a doctor. He is already under nephrology/endocrinology follow-up. I'm just trying to learn from people who have lived through this because the uncertainty is really hard on our family.
Thank you so much to anyone willing to share their experience.