Regarding glomerular filtration rate

2026-07-24 14:13:14
Respected doctors, This is my mother's report. Please let me know what exactly she is having and how do I proceed with treatment She takes medicines for diabetes and hypertension.
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Immediately visit a good nephrologist a kidney specialist.dont waste your time online.

Answered2026-07-26 05:22:38

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Firstly its mild elevated range of creatinine Sometimes its bcz of dehydration too Dnt get much tense As ur mother also had Diabetic and hypertension It’s Gud if u once go for usg abdomen and pelvis Retinal examination

Answered2026-07-26 04:17:43

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Renal Profile/Kidney Function Test results for a 43-year-old female patient with a history of hypertension and diabetes mellitus. ​​Kidney Function Markers 1. ​Creatinine: 1.37 mg/dL (Reference: 0.9 – 1.3 mg/dL) ​Interpretation: Slightly elevated above the standard reference range. 2. ​eGFR (Estimated Glomerular Filtration Rate): 41.14 mL/min/1.73m² (Reference: > 60 mL/min/1.73m²). ​Interpretation: Reduced. An eGFR between 30 and 59 mL/min/1.73m² typically indicates moderate reduction in kidney function (Stage 3 Chronic Kidney Disease) if persistent over 3 months. ​3. ​Urea & Blood Urea Nitrogen (BUN): Urea is 28.00 mg/dL and BUN is 13.1 mg/dL, both well within normal limits. ​4. Sodium (138 mmol/L), Potassium (4.8 mmol/L), and Chloride (101 mmol/L) are all in healthy ranges. (Note: Keeping potassium stable is especially important in kidney management). ​5. Uric acid, Calcium, Phosphorus, Total Protein, Albumin, Globulin, and A/G ratio are all within normal reference intervals. ​In a 53-year-old with long-standing or poorly controlled diabetes and hypertension, elevated creatinine and reduced eGFR are classic indicators of Diabetic Kidney Disease (Diabetic Nephropathy) and/or Hypertensive Nephrosclerosis. ​When combined, these conditions are the leading causes of chronic kidney disease. ​ Recommended Next Steps ​1. A single blood test provides a snapshot in time. Diagnosis of chronic kidney disease requires medical correlation, evaluation over time, and additional testing. ​2. Share these results directly with a primary care physician, endocrinologist, or a nephrologist (kidney specialist) for formal clinical evaluation. ​3. Do a Urine Albumin-to-Creatinine Ratio (uACR) or a 24-hour urine test. Checking for protein/albumin in the urine is crucial for early detection and slowing down kidney damage. ​4. Optimizing blood sugar (HbA1c) and maintaining blood pressure within target limits (often < 130/80 mmHg) are the single most effective ways to protect remaining kidney function. ​Treatment: 1. ​Certain blood pressure medications (like ACE inhibitors or ARBs) and modern diabetes medications (like SGLT2 inhibitors) are specifically designed to protect kidney tissue. 2. ​Avoid over-the-counter NSAID pain relievers (like ibuprofen or naproxen), as they can further reduce kidney filtration. ​3. Repeat the blood panel in 1–3 months to determine if this reduced eGFR is a stable baseline or a temporary fluctuation (e.g., due to mild dehydration).

Answered2026-07-25 16:35:57

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EGFR slightly low. Get ultrasound kidneys done. She has 2 risk factors for kidney damage. Advised to consult nephrologist for clinical evaluation.

Answered2026-07-25 14:21:37

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Normal

Answered2026-07-25 10:05:44

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Proper evaluation and personalised advice are needed for your concern. A detailed consultation would be best to provide accurate guidance. Feel free to consult me for further assistance.

Answered2026-07-25 09:01:12

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kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app

Answered2026-07-25 07:51:54

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GFR is less ,otherwise report is normal overall.means fluid retention is high .once evaluation by general physician.

Answered2026-07-25 06:40:19

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Avoid fried and spicy food Water intake more Green leafy vegetables more Fiber meal Walk Do connect and consult Will help u

Answered2026-07-26 07:56:18

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eGFR is low , suggest to USG abdomen . Otherwise other value is ok .

Answered2026-07-25 19:07:24

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In this creatinine is on the higher side for her age I’ll advise you investigation as many things are unclear 1. Spot urine protein creatinine ratio Hba1C Usg kub CBC
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Kindly connect.

Answered2026-07-25 09:34:36

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Can help you, kindly consult and provide detailed history for proper diagnosis and further management

Answered2026-07-25 06:56:21

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