Stage 4

[JAYCEE33]

I'm a 77 year old male and after bouncing around in Stage 3b for a couple of years I started to get much lower results of 30 or 33, then my latest is Stage 4 at 26 eGFR. All other renal profile serum results are normal and my urine tests for albumin/creatinine ratio are normal. I've cut out added sugar and am trying to keep my protein consumption below 50g. Any advice?

[yolsdfghjk]

i'm 73 years old, my egfr has varied from around 26 to 22 and back to 26 over the last 4 years. Your other results are normal so don't worry. It is quite normal for creatinine to have a 10% and up variation. Just keep an eye on your protein in urine test, you can buy dip sticks for this. Protein urine should be no higher than 1plus

[JAYCEE33 in reply to yolsdfghjk]

Thanks for that, will do.

[JAYCEE33 in reply to yolsdfghjk]

Hi again, is protein urine the same thing as urine albumin? my tests show this as below 3mg/L

[yolsdfghjk in reply to JAYCEE33]

there are many different types of proteins in the body,the one that is measured is albumin, so yes to your question. I have recently read a book called Learn the facts of kidney disease by Steven Rosansky , M.D. It cost me a couple of £ from Amazon. I understand the most important guide for deteriorating kidney disease is a continuing increase in urine protein. If you are concerned, buy a couple of urine analysis dipstick to test your urine protein. Or take your urine to the doctors and they will do a dipstick test for you.

[vinadhun2]

do you know the reason for low egfr?

is it due to diabetes or BP etc?

[JAYCEE33 in reply to vinadhun2]

Not diabetes but probably BP, the BP is controlled but there's a big differential between systolic and diastolic, typically 130/65. I understand this isn't good

[vinadhun2 in reply to JAYCEE33]

I was curious to know because my situation looks similar to yours.

I am 76 years old and all health parameters are normal except creatinine which is around 1.90 mg/dl since last 5 years. My nephrologist has advised that it is due to old age,

Not to worry. Just to monitor at regular intervals

[yolsdfghjk in reply to vinadhun2]

creatine level is tested, egfr is only a figure used when combining creatinine, age and sex of a person. There are quite a few different reasons why people have kidney disease. Continued high blood pressure /diabetes could be the cause of CKD, but so could other things. egfr formula will drop as creatinine level rises.