Some values I'm looking for feedback on.

[Wrigley]

Creatinine. 1.38. BUN 24. Normal BUN/Creatinine Ratio - 17. GFR 54. White male - 64 yrs. Any thoughts?

[Marvin8]

It's not a good creatine or gfr level. It's not a horrible creatinine or gfr level. What's most important is the creatinine level over time. How fast is the downward slope. It get be quite steep for some. It can be quite shallow for others. Nephrologists cannot really predict with any degree of accuracy and bad somebody will become unless they're on the verge of dialysis. All they can tell you with confidence is that the disease is progressive and that's about it. If your creatinine was at .88 last year, it means that there's either been a huge lab error (which can happen) or something damaged your kidneys very quickly. All in all, you've got mild/moderate kidney damage. Stay hydrated, keep your protein at around 50 gms a day, and try not to dwell on things. If you're disease progresses slowly, you may very well live long enough to avoid dialysis completely or be semi-cured through stem cell therapy.

[RickHow]

I'm not a doctor, but I know what my doctors would say. Because my numbers for egfr are worse than yours, my creatinine level is higher 1.7, but like you my bun/creatinine level is within normal. They tell ME I am doing fine. My doctors do NOT support the egfr theory of calculation that you take a persons creatinine level, compare it to "typical" race, age, sex, and determine the function of the kidney. Because we are not all "typical". Because there may be so many other determining factors that change creatinine level (hydration, medication, other illnesses, perhaps you have just one kidney, diabetes, etc., etc.,). My oncologist and my urologist track the egfr only as a guide. Does it stay within range over time. For example, between blood tests ever 3 to 6 months, does it only vary by less than 3 or 4 points. A continual drop then it is kidney disease. They instead track the bun/creatinine level as the best measure of how the kidney, or kidneys (if you have two) are doing. Also, perhaps there is moderate kidney damage. It does NOT mean it will progress any more than kidneys normally decline with age. Even those NOT labelled with CKD have kidney decline with age. You damage for example may have been caused by high blood pressure at one point. Now you have control of the pressure. Then the kidney will likely only decline at a normal rate and you will never experience any problems. Remember this. You are labelled (and my doctors would hate even classifying you as diseased) as MILD . And here is a quote from the Renal Association website:

Patients with CKD stage G3 have impaired kidney function. Only a minority of patients with CKD stage G3 go on to develop more serious kidney disease.

[Wrigley in reply to RickHow]

Thanks for the feedback and suggestions. I'll let you know more shortly. The support is deeply appreciated.