After discussions with you I requested to start using extra and have recently started using it to help save my membrane vs in the past using high dextrose level fluid. Thank you for your advice and guidance.
I have another question. I have started using extraneal as my long dwell . I went on a two day trip and used manual only and still used extra as my long dwell and did not do the recommended number of exchanges. The next day I had to bring in a sample for testing after using the cycler and extra as my long dwell. That test came back less than 1.7 and I am concerned. The last one I did with dextrose and a day time exchange hit 2.3 but usually I am on or near 1.7. That 2.3 result was with another day time exchange and some urine output. My practice until I started extraneal was to do a day timne exchange or even two, but my PD nurse wanted to see what it would be with just the cycler Extra as my last fill and no day time exchange. I had some fibrin and used Hep, but have not seen fibrin since using the extraneal. In the past I had to use red to get enough fluid out usually using red a couple of times a week. My BP is ok and fluid retention is ok and my weight is and has been about 265lbs. Other blood chems are ok and my potassium and phos is a little high and a challenge for me. my weight had hit 293 and I have lost down and keep down to 270 or less after starting PD. I do not want to ever do HD if I can avoid it and worry about my clearance.
My question is I want to use extraneal to save my membrance and could I do a day time exchange after several to 8 hours and put it green or even another extra before starting my night time exchange to hit 1.7 or higher number? The fact that extar exchnages yielded 2.3 should mean my PD will work given the right combination and number of exchanges, right? My other test on membrane showed my absorbsion rate was medium and unchanged since I started PD a couple of years ago. AS I had to use red a few times a week to get higher UF, aren’t I better off using more extraneal and not using the high dextrose red?
I am eating and feeling ok, so are these numbers absolute or does how you are doing come into play?