egfr of >60 at 25.

[danny101]

Hello everybody, I am new here and i just wanted to ask some questions. Sorry if any of the below seem inappropriate, i just dont know where to turn feel v alone right now.

I went to the a&e as I had recently been exposed to HIV to get PEP, it was a low risk situation but was still advised that I should start PEP for the month. Post-exposure prophylaxis can stop HIV taking hold.

I had my bloods done and my GFR came back at >60 mL and my Creatine 0.90 mg/dL.

The nurse did not say anything about it and I only saw when I get home on my test results beneath my GFR it said this

"A persistently reduced GFR below 60mL/min/1.73m2 is a feature of chronic kidney disease and increased risk of complications of chronic kidney disease."

Obviously this made me incredibly anxious and started to look online at having a GFR of 60 and it said that its normal if your older. And being on this course of PEP I fear will be tough on my kidneys if they are already that low.

So my question is even if none of the nurses said anything whilst my results came back. Do I have CKD? And if so what should I start to do to help my kidneys.

I went for some new bloods yesterday on my own accord to just check my GFR again and hopefully this will give me some guideline? Or am i being to anxious?

Thank you all so much

all love

[Bassetmommer NKF Ambassador]

Hi Dann,

Wait and see what the next labs come back at. GFR can drop fluctuate from lab to lab. What you need to see is what the trend is over the course of several labs.

I am assuming you are 25yo. So 60 would be low for your age group. But, I have no idea of the rest of your medical history. And I do to know what impact the medications you are on might have on your levels. So..... time to talk to a doctor. But see what the next round of labs show. There is a lot you can do to help the kidneys and knowledge is power. Take a look at the discussions on Diet and Nutrition under topics on this site as a place to start.

[danny101 in reply to Bassetmommer]

Hey thank you so much, i was doing some research earlier and saw that the sign behind the symbol in my labs means "greater then" i know thats really stupid that I didnt realise that. I think that may mean that it might not be 60 specifically? But im not sure.

My doctor just called and said that my labs were satisfactory and that she wants to see me again in a month? Also prior the month before I had strep so have been on three different types of antibiotics and a fair amount of nsaids for the last two months.

Do you think after the PEP and staying clear of all of the painkillers will increase my GFR?

Thanks so much btw again, feeling really confused by all this

[Bassetmommer NKF Ambassador in reply to danny101]

opps, I didn't catch the greater than 60. Do try to stay way from NSAIDs as they can impact your kidney function.

[WYOAnne NKF Ambassador in reply to danny101]

I have renal labs done every 3 months due to a transplant. My eGFR always comes back as >60, with no specific number. Please know that your creatinine number of 0.9 is normal and fantastic. Many on this site wish their lab value was that good.

Please realize that some labs do not compute your exact GFR unless your creatinine was above the normal range. I know my lab does that.

Does not seem that you have CKD, but if you are anxious about it you need to speak to your PCP regarding the lab values.

[steve680]

Your numbers don't indicate CKD. According to above, you're a 25 year old male with a creatinine of 0.9. The GFR calculator says your GFR is 118. So, I think you misread your lab results regarding your GFR. A lot of labs don't even try to estimate GFR if it's above 60. From what I can tell, you're well above 60. This is the GFR calculator I used:

davita.com/tools/gfr-calcul...

[Sammi_n_Munk]

Hey Danny! Welcome to the forum! Yeah, it sounds as though you’ve been on a lot of meds lately that can impact the kidneys in a negative way, but it still doesn’t sound like it’s very bad.

Speak to your PCP with regard to what steps she / he believes you should be taking. Also, try to follow Bassetmommer’s advice as well. Anti-inflammatories of any type are not friendly to kidneys in general, neither are antibiotics. I think, after so long that you’ve steered clear of these, you should see an improvement. Even though you’re feeling good and your numbers are still rather good, just try to be somewhat careful as you wouldn’t want this fact to change.

As Bassetmommer suggested, do a little online research such as DaVita.com, kidneyschool.org, and any that you can find right here. It’s really never too early for anyone to learn and know how to be kind to their own bodies. As we age, our health can take many different turns. The key in protecting our kidneys to the best of our ability, is to be aware of the do’s and don’ts. This way, if there should be any decline in function waiting to happen, we’ve got a good grip on slowing it down at least.

Remember also, that drinking plenty of water daily is very important to kidney health. This flushes your system and can increase your GFR. If you’re unsure about how much to take in, just ask your doctor. Lay a little low on foods and beverages that are high in sodium, potassium and phosphorus. You can find food lists for these online.

Try to limit any weight-lifting exercise, or omit it completely. This can raise your creatinine as protein from your muscles get into the bloodstream. Speak to your doctor about this also. A little daily cardio (walking) is always helpful as well. Stay away from protein powders. It’s really not good for anyone, healthy or not, to overwhelm their bodies with too much protein. It can be rough on the kidneys.

I hope you find this helpful. Please do keep us posted on your progress. Don’t fret about this. Always address any questions or concerns you have with your medical team. They are the ones that know which way to steer you, using your lab results. I wish you all my best. Once again, welcome to the forum. Remember, we’re here for you. Take good care of yourself! God bless. 😊👍

[AuntMishee]

Hi Danny.

I am 50 yrs old. I have lithium induced kidney disease. My GFR is 62. My lab, Quest, considers anything over 60 to be “normal”. A one time GFR is not enough to establish kidney disease. You need a to see a pattern over a 3 month period. Your creatinine is normal, which my nephrologist says is a much better indicator of kidney disease than GfR.

We are here to help with anymore questions you may have. Cheers!