Do I have ckd?

[Jb65muddled]

Had regular bloods taken 2 months ago as part of health check, gift came back at 55. Second test 4 weeks later 59 urine clear , no 120/70, no diabetes. I am female and 65. GP says he will test again on 3 months and I am to eat healthily, which I do as my husband is Type 2 diabetic, exercise and not take Ibuprofen. I’m not certain if this is a diagnosis or if I borderline?

[Cruze44]

Many people here may disagree but I'd guess no real kidney disease to worry about here. I believe technically a eGRF of under 60 is classified as kidney disease. However, a eGFR of 60 or more and no protein in urine or other signs of kidney damage is considered perfectly normal regardless of age. So your right there on the border. Considering your age, your state of good health, no diabetes, and I assume no CVD I believe "real" kidney disease is extremely unlikely. So even though you may technically be classified as stage 3a disease you really have nothing at all to worry about in my opinion. The percentage of people over the age of 65 with a eGFR like yours is probably staggering. I'm guessing that a fairly decent percentage of physicians would not even bother telling their older patients they need to be careful with their kidneys. No reason to cause the patient any undo worry over something that is extremely unlikely to cause them any problems as they age. I'm assuming your doctor told you not to worry right?

[Jb65muddled in reply to Cruze44]

Thanks you have pretty much confirmed my thoughts

[lowraind]

jb65,

Chronic Kidney Disease has 5 stages:

Stage 1 with normal or high GFR (GFR > 90 mL/min)

Stage 2 Mild CKD (GFR = 60-89 mL/min)

Stage 3A Moderate CKD (GFR = 45-59 mL/min)

Stage 3B Moderate CKD (GFR = 30-44 mL/min)

Stage 4 Severe CKD (GFR = 15-29 mL/min)

Stage 5 End Stage CKD (GFR <15 mL/min).

From the information you have given, you seem to be at a low stage 2.

Please be aware that a healthy diet for a person with Type 2 Diabetes and a healthy diet for a person with CKD are not the same. Your best next steps are to inform yourself about what you can do to keep your GFR from further declining.

[Jb65muddled in reply to lowraind]

Thanks for this

[Cruze44 in reply to Jb65muddled]

Actually though. Stage 1 and 2 are not actually kidney disease UNLESS you have other factors involved. You MUST have protein or blood or both in urine. Or damage that can be seen on imaging. If none of those are present then no kidney disease. Not sure why that’s not more clearly explained when looking at eGFR charts. Causes a lot of unnecessary worry and it’s a little confusing. But simply put. eGFR of 60+ is normal until proven otherwise.

[Cruze44 in reply to Cruze44]

Oh. And should also be noted. Even if there IS protein or blood in urine it must be present for at least 3 months before it meets the criteria of CKD.

[orangecity41]

It pays to follow-up with your Doctor and get eGFR tested on a schedule. Everyone's situation can be different, especially as we age, so best to be pro-active.