You need to help me understand your prescription a little more completely. If I understand correctly, you are on the cycler each night for 4 exchanges of 2.1 liters each, correct? and then in the morning, the last fill of the cycler is 1.8 liters which you manually drain around 8 or 9am when you wake up. Then at 5pm you have another exchange of 1.8 liters which dwells until about 8 or 9 pm when you go back on the cycler, and all your bags are 1.5% dextrose. So make sure this is what you are currently prescribed. And your KtV is 1.73. I need to know a little more----about how much urine do you make each day? Do you know what your GFR is? (a measure of kidney function) If so, tell me that as well. And I presume you had a PET last year when you began PD, so it would be very helpful if I knew that. Also, how much fluid do you ultrafilter most days? How much do you drink each day? And finally, are you on a diuretic medication like lasix? and what is your body weight?
I am very concerned about your low albumin and the fact that you are eat only one meal each day. And I am concerned that you are dehydrated as that will effect your residual kidney function in a negative way in addition to making you feel lousy. So if you can try to send me as much of the information I have asked you about above, I may be able to help you understand some of your options to make PD work better for you and give you a better quality of life. I want you to feel well on PD.
Looking forward to hearing from you again, Judy Bernardini