Pcsk9

[Wellington19]

I have chronic renal failure stage 3 , have had aerotic valve surgery, also fairly high ldl cholesterol, prediabetes because of simvastatin, nhs will not authorize pcsk9 inhibitors for me , it seems that the nhs would prefer you to become diabetic than give better drugs without side effects

[Badger2024]

Is it your kidney specialist that won’t prescribe them or your family doctor? If family doctor can’t you see someone else? If kidney specialist perhaps the fewer medications that have to filter through your kidneys, the better? As I understand it, pre-diabetes is just that and can be reversed with exercise and a good diet of low GI foods to keep your sugars stable. Perhaps you just need a referral to a dietitian. Wishing you all the best

[Wellington19 in reply to Badger2024]

Cardiologist at JOHN RATCLIFFE HOSPITAL, NOT AUTHORISED TO GIVE ME THE DRUGS, nhs guidelines

[Badger2024 in reply to Wellington19]

Maybe you have to actually be diabetic to get them. Or be a later stage of CKD. Pre-diabetes is reversible with diet and exercise. Sounds like you really would benefit seeing a renal dietitian who could write up a meal plan individually tailored to your medical needs and also your preferences.

[Wellington19 in reply to Badger2024]

I have been on diabetes prevention course, cardiologist at John RATCLIFFE hospital oxford hospital told me little things help but wont make much difference. On simvastatin too lng a time, 40 percent of people on simvastatin become diabetic, cholesterol level overall 4.9 hdl3.8, now been given pravastatin and eximibe. Prediabetec

[Milkfairy Heart Star]

What are your LDL cholesterol levels?

PCSK9 inhibitors are usually prescribed if you are considered at high risk of a heart event.

Heart UK a charity has lots of information about cholesterol and possible treatments.

heartuk.org.uk/getting-trea...