Download FREE Practo app
Get ₹200 HealthCash
Stage 3B CKD
My father recently received a diagnosis of stage 3B Chronic Kidney Disease (CKD). Notably, his creatinine levels were normal just 1.5 years ago, despite having high blood glucose levels at the time. Although his glucose levels have been well-managed with medication since then, his serum creatinine has risen to 1.9, with a corresponding GFR of 38. Is it possible to stabilize his creatinine levels and halt further progression of the disease?
Answers (17)
Didn't find the answer you are looking for?
Talk to experienced doctor online and get your health questions answered in just 5 minutes.
**Specialist Doctor’s Response:**
**Re: Stage 3B CKD – Stabilizing Creatinine & Halting Progression**
Dear Concerned Family Member,
Your father’s recent diagnosis of **Stage 3B CKD (GFR 38, creatinine 1.9)** despite previously normal renal function is indeed significant. Here’s what you should know:
### Key Points:
1. **Possible Causes**:
- Rapid progression from **uncontrolled diabetes** (even if now managed) is a leading factor. Other causes (e.g., hypertension, infections, medications) must also be evaluated.
2. **Stabilization Potential**:
- **Yes, progression can often be slowed** with aggressive management of underlying conditions (e.g., strict glycemic control, BP <130/80 mmHg), dietary modifications (low salt/protein), and avoiding nephrotoxic drugs (e.g., NSAIDs).
3. **Urgent Actions Needed**:
- **Nephrology Consultation**: Essential to identify the exact cause, assess for proteinuria, and tailor treatment (e.g., SGLT2 inhibitors/ACE inhibitors if indicated).
- **Lifestyle Interventions**: Fluid intake monitoring, smoking/alcohol cessation, and weight management.
### Next Steps:
- **Do not delay evaluation**. Early intervention can preserve kidney function and prevent complications (e.g., anemia, bone disease).
- I recommend a **detailed consultation** to review his reports, optimize medications, and create a long-term plan.
For immediate guidance, contact me on WhatsApp at **Eight Zero Zero Nine Eight Two One Three Three Two** to schedule an appointment.
Answered
Let others know if this answer was helpful
Articles you may like
Tell us what's troubling you
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.