Conversation: The conversation between human and AI assistant.
[|Human|] My husband is a PD patient.  Been on it for ten months.  Had a cortisone shot in his knee last week.  Has had complications with high blood sugar, diarrhea, dizzy and weakness.  His dialysis is not working as well, lower UF.  Have called his nurse, told to increase strength of dialysis fluids, helped at first but now back to low numbers with continued afore mentioned problems.
[|AI|]  Hi and thanks for the query, I am afraid a patient with problems with dialysis malfunction needs to be treated with utmost care. Considering he is a PD patient, with a high blood sugar, certainly not well controlled blood glucose, this again increases the risk of aggravating the kidney disease and other metabolic conditions. A combination of these two pathologies non their own could be very detrimental. Cortisone, a steroid especially when given in a diabetic and patient with chronic kidney disease, the patient has to be carefully monitored. I strongly suggest you consult a nephrologist or book an appointment with a nephrologist and take your husband to the emergency room for reevaluation and initial management. Thanks and best regards, Bain LE, MD.