What's this confused

[birkie]

This is on my blood work does anyone know what it is 🤔

!eGFRcreat(CKD-EPl)1.73 m*2----57...mL/min/1.73m 2---ranges ...90.00-120.00 mL/min/1.73m2....lost🤔🤔🤔

[SeasideSusie Remembering]

It's a kidney test and it looks like your result is 57 and the range is 90-120. As it below range, and is marked "!" (which is the symbol used when a result is abnormal) you should probably ask your GP about it.

[helvella Administrator Thyroid UK]

GFR = Glomerular Filtration Rate - a measure of how well your kidneys are functioning.

eGFR = estimated Glomerular Filtration Rate

I *think* your result is 57 with a range for "normal" being 90 to 120.

You will find far more than I know by having a look at this link:

renal.org/information-resou...

If you have not already got it, my document might help with these abbreviations:

dropbox.com/s/8u6p5a89n9fk9...

However, it really doesn't cover what you posted fully!

[Nanaedake]

If your eGFR result is below 60 you should get an apt and discuss it with your doctor.

[birkie in reply to Nanaedake]

Hi

My gp is not bothered says it's OK.. That's why I wanted to know what it is.. 🤔

[SlowDragon Administrator in reply to birkie]

Low GFr is common when hypothyroid

academic.oup.com/jcem/artic...

This should improve as you get your dose of Levothyroxine higher and are less hypothyroid

[humanbean]

My husband, who does not have a thyroid problem, had an eGFR of 58 last year. He went into headless chicken mode, rushed off to see a doctor - and the doctor dismissed it as of no great consequence, and sent him on his way.

I have done some research and discovered that doctors in the UK really don't care very much about eGFR until it drops in to the 30s or even the 20s.

I have a very vague memory that someone on the forum some time ago had an eGFR in the 40s or 50s, went on T3 and her eGFR improved a lot with no other treatment. Perhaps your T3 is too low for your health to be optimal?

[Lesleyg13 in reply to humanbean]

I am a perfect example - before starting NDT my eGFR was down to 32 (with no known reason). My FT3 was below range at that time. After only 4 months on NDT it has improved to 50, and I am hopeful there will be a further improvement over the coming months.

[maggiesloper]

You have a reduction in Kidney function and with a GFR below 60 you should take steps to find out the cause. Chronic kidney disease can creep up on you especially if you have hypertension but it can also be caused by numerous other things like prescription medications. It is advisable to see your GP again and ask for further tests so that ypu can make the necessary changes to lifestyle and diet to protect your kidneysand prevent them deteriorating further

[taramcarter7]

As a nurse we watch GFR all the time. When the level is under 20 is when doctors require more testing.

[Angel_of_the_North in reply to taramcarter7]

Another of these attitudes to ranges that make no sense. Low TSH - panic mode. Low GFR - meh! Why have ranges if no one takes any notice of them?

[Lesleyg13 in reply to Angel_of_the_North]

Agree 100%! If docs looked for root cause earlier when eGFR range first breached then deterioration in kidney function could often be avoided. I'm really shocked to hear some doctors let it go as low as 20 before further testing. What's the point in watching eGFR all the way down to 20 and not doing anything???

When the cause of reduced eGFR is hypothyroidism the research I've read seems to indicate it should be reversible once properly medicated. Not so on the whole with diabetes and hypertension though.

[Hidden]

it Is only slightly low kidney function test. Normal is over 60. You could reduce sodium intake and cut back just a bit on protein consumption if it concerns you. I wish I had a result as good as yours! I am at stage 3B of chronic kidney disease due to family history, diabetes, having become dehydrated in 2013, and my age of 76. My number is 36 so I have to restrict salt and protein considerably.. I also take iron and vitamin D for related issues. You should not unless your doctor suggests them.

[Lesleyg13]

Although undermedicated hypothyroidism could certainly be the reason for your slightly reduced kidney function, the most common causes for reduced kidney function are diabetes and high blood pressure.

Aging is another one which none of us can avoid!

So I would recommend you ask for your HbA1c to be checked to rule out diabetes. HbA1c shows what your blood glucose levels have been over the last few months. Is your blood pressure ok too?

From your other recent post I see you are undermedicated with a TSH of 3.53. My GP certainly didn't realise that being undermedicated could be a reason for reduced kidney function.

[birkie in reply to Lesleyg13]

Hi thanks for the reply

I was recently in hospital with kidney stones blood in urine ect had scan showed nothing just sent home with pain meds.. I always seem to have white blood cells in my urine I have strips at home to test but gp always says it's OK.. 🤔