I am so concerned about all this. A year ago I was 190! Now 53! No one seems greatly concerned. The kidney dr. I was referred to was not either. I do not see him or 6 weeks!
I am right to be upset?
I am so concerned about all this. A year ago I was 190! Now 53! No one seems greatly concerned. The kidney dr. I was referred to was not either. I do not see him or 6 weeks!
I am right to be upset?
Hi,
Not sure how you have a egfr of 190.
A egfr of 53 is stage 3a- mild -moderate reduction in kidney function.
Normally see you consultant every 3/4 months to check function by blood test.
Rising creatinine levels are a marker for reduction in kidney function.
You should work with your renal team to monitor and also speak with your renal dietician who will provide support for any changes that may be required in yyiur diet.
Philip
It is normal to feel upset. Six weeks is a bit long to wait for a retest. I agree with Philipjm that I am not sure how you had an efgr pf 190--normal is 90 to 120. Don't know where you live, but in the U.S. it is not normal to have a renal dietitian at 53--also, though I am totally not in agreement, most nephrologists are not concerned about stage 3. My husband has been told that they have too many more much worse off.
Push for a retest earlier, read through the posts listed at the right side of these messages, and prepare your questions for when you get the new results. Changes in diet, especially sodium intake would be in order, since most of us consume too much salt. Drink more water, exercise moderately, and do much research. Then, you will be prepared for whatever lies ahead.
Yes, you have the right to be concerned, but do not panic. I think you meant original GFR was 90. so to slip to 53 is a lot in a year. But having said that, one lab does not make it kidney disease. There are several indicators to look for and you need to have labs done more often to see if there is a trend. Things like creatinine and other blood levels will indicate what, if any, issues you may have.
I would recommend you have your doctor explain completely your labs and then have another draw done in a few months to compare.
Many physicians do not do anything at stage 3, which many of us here on this site think is a big problem. Become educated on kidney disease so that you can be pro-active. You may not have any problem, but if you do and your kidneys are failing, you CAN stem off further decline with diet and knowledge.
Let us know how you make out with your future labs.
kidney.org/atoz/content/und...
labtestsonline.org/tests/re...
my results
Comprehensive Metabolic Panel - Details
Component
Your Value
Standard Range
Flag
Glucose
96 mg/dL
70 - 99 mg/dL
BUN
18 mg/dL
8 - 23 mg/dL
Creatinine
1.03 mg/dL
0.50 - 0.90 mg/dL
H
GFR MDRD African American
>60
eGFR is calculated with MDRD equation, not validated in children, pregnant women, or people > 85 years. It is not valid in conditions with acute changes in creatinine values like acute renal failure and dialysis. Values < 60 are associated with CKD.
GFR MDRD Non-African American
53
Sodium
135 mmol/L
136 - 145 mmol/L
L
Potassium
5.0 mmol/L
3.5 - 5.2 mmol/L
Chloride
97 mmol/L
98 - 107 mmol/L
L
CO2
27 mmol/L
22 - 30 mmol/L
Anion Gap
11 mmol/L
7 - 16 mmol/L
Calcium
10.1 mg/dL
8.4 - 10.3 mg/dL
Total Protein
7.2 g/dL
6.2 - 8.1 g/dL
Albumin
4.4 g/dL
3.2 - 4.6 g/dL
Total Bilirubin
0.4 mg/dL
0.0 - 1.2 mg/dL
Alkaline Phosphatase
125 U/L
35 - 104 U/L
H
AST
15 U/L
0 - 32 U/L
ALT
11 U/L
0 - 33 U/L
General Information
Collected:
11/08/2018 8:41 AM
Resulted:
11/08/2018 11:21 AM
I see the protein in the blood is normal, but what about protein in the URINE???? My blood protein is still in normal range even thought I was spilling protein in the urine. You mentioned "bubbles" in urine. If you are noting bubbles this could be the beginning of FOAM. Get a 24 hour urine test for protein in the urine. No one bothered with that for me until my GFR was tanking. Even my creatinine at the time was 1.1, but protein is a KILLER, so have them check the urine. This is standard practice in Japan.
Sorry, but none of us should be diagnosing even with the labs. If your doctor is not forthcoming with being able to answer your questions, you should maybe seek a new one. I know that is not easy, but you need to have a healthcare team you can rely on. I am not sure where you live, but can you get a referral to a nephrologist?
There are many factors that can impact your labs, so your doctor should be reviewing your numbers and offering advice on how to maintain or reduce some of your numbers.
Good luck.
190? Is that a typo? In my research, the highest is 120 in a human! Learn something new every day? 58 is a decent GFR, but I would talk to a Renal dietician about how you could change your diet to slow any progressive deterioration. My Nephrologist has a GFR of 84. He is 63 yrs old, eats at McDonalds for breakfast, but does NOT have diabetes or high blood pressure. Watch your salt intake and read labels on the food you buy/eat if you are at high risk for CKD.
I just had a new blood test and all levels are normal now ---- crazy --- Huh?
i would recommend you stay away from cola drinks if you drink them....and NSAIDs....watch the salt...stay hydrated ..and until you have had at least 2 or 3 labs done question the readings...
is a low specific gravity in urine test good or bad?