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Warning-sign checks

Nephropathy diabetic: when to get help

Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.

  1. 1

    Is any of this happening now?

    Call 911

    Call emergency services for severe breathlessness, chest pain, fainting, a seizure, or marked confusion.

    Other emergency signs, for anyone
    • Someone who is struggling to breathe, gasping, choking, or cannot get words out
    • Someone who has chest pain, tightness or pressure lasting more than a few minutes
    • Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
    • Someone who is unconscious, or cannot be woken
    • Someone who is bleeding heavily and it will not stop with firm pressure
    • Someone who has had a seizure that will not stop, or does not wake up afterwards
    • Someone who has lips or skin that look pale, blue, grey or blotchy
    • Someone who you believe has taken an overdose or swallowed something poisonous
  2. 2

    Is any of this happening?

    Be seen today

    Ask for prompt medical advice if you have vomiting, diarrhoea, fever, or poor fluid intake and are unsure how to manage diabetes or kidney-related medicines.

    Seek urgent assessment for a sudden reduction in urine, rapidly increasing swelling, repeated vomiting, or a sudden unexplained change in glucose levels.

    These symptoms can occur with serious fluid, heart, electrolyte, or glucose problems and should not wait for a routine appointment.

  3. 3

    Does any of this apply?

    Book an appointment

    Arrange routine follow-up if you notice persistent foamy urine, new mild ankle swelling, increasing tiredness, or blood pressure readings repeatedly above your agreed range.

    Also seek advice if treatment side effects are making it difficult to take your medicines.

Every sign above is quoted from the sofidex article on Nephropathy diabetic. If you are not sure, err upward — it is always reasonable to be checked.