rise in egfr: is it normal to go from... - Kidney Disease

Kidney Disease

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rise in egfr

S_dillow profile image
13 Replies

is it normal to go from forty to fifty percent function and down to 3 a after being 3b for over four years

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S_dillow profile image
S_dillow
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13 Replies
orangecity41 profile image
orangecity41NKF Ambassador

Here is a link to information on eGFR and age relation from National Kidney Foundation. There is some decline due to age. kidney.org/atoz/content/gfr

userotc profile image
userotc in reply to orangecity41

I think the question/point raised was an improvement in kidney function rather than a decline? But the wording could cause confusion. I dont think staging is based purely on eGFR (again, possible confusion) eg my mum's eGFR has risen to 76 but she hasnt been "upgraded" to stage 2 - maybe due to proteinuria issues?

S_dillow profile image
S_dillow in reply to userotc

I went from 40. Percent kidney function to 50 percent in a month.i was wondering if this was normal for ckd.

userotc profile image
userotc in reply to S_dillow

Depends on the duration for that increase. If based on 2 consecutive results, it seems to be a rapid rise on the face of it. But readings can vary for a number of reasons eg exercise, so better noting the trend over several months rather than 2 results.

My mum's increased from 36 to 76 over 5y.

jodaer profile image
jodaer

Was anything going on at the time of the test? Something a bit or more different than the previous time?

S_dillow profile image
S_dillow in reply to jodaer

No and that's what got my nephro puzzled

jodaer profile image
jodaer

That's interesting. I wouldn't worry about the stage, that's just a # but the eGFR is a bit different. I wonder, some labs are figuring eGFR differently, maybe that is the reason. Is there any way you can check that out?

S_dillow profile image
S_dillow in reply to jodaer

I looked at my results and they give both the old and the non race formulas which are only a number apart but from the same lab the hospital uses

jodaer profile image
jodaer

Well, I don't have anything else to add. I'd take it for a win. It will be interesting to see what your next labs say. When are they scheduled for?

S_dillow profile image
S_dillow in reply to jodaer

A year from now

jodaer profile image
jodaer in reply to S_dillow

Well, that's a long time to wait.

Darlenia profile image
Darlenia

I'm no longer sure of exact numbers but that happened to my hubby, a T2D - results swung from bad, rallied to good, and then fell to very poor over a short period of time (over 2 or 3 years). Our primary doctor was shocked, but our nephrologist wasn't. Early on, most doctors pay some attention to eGFR but it's only an "estimation" (e=estimation) regarding how your figures line up with others in broad categories based on variables such as age and weight ranges, etc., and other things value too. In my hubby's case, our nephrologist increasingly zeroed in on all of his lab data as time went on. Those show the state of affairs inside one's body at a specific, defined time. As my hubby moved towards dialysis, the importance of creatine, in particular, as well as BUN and others got all the attention. After transplant, same thing - eGFR was largely ignored as they watched for improvement in creatinine, BUN, etc. Estimations don't really matter much as organs go upside down - consider someone undergoing a heart attack, a stroke, kidney collapse, etc. The "chance" of getting something or another don't really matter when it's already underway. So, I would, personally, focus on the trajectories of all your personal lab values, not simply eGFR. How are those? What story do they tell you? The fact that your nephrologist is "puzzled" makes me think that other factors in your lab reports are presenting a positive picture. And that's wonderful. Sending you positive vibes for great discoveries. Blessings.

RoxanneKidney profile image
RoxanneKidney

Yeah, especially if you are eating better and taking your meds

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