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Regarding glomerular filtration rate
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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Avoid fried and spicy food Water intake more Green leafy vegetables more Fiber meal Walk Do connect and consult Will help u
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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
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eGFR is low , suggest to USG abdomen . Otherwise other value is ok .
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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).
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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.
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Normal
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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.
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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.
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kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app
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GFR is less ,otherwise report is normal overall.means fluid retention is high .once evaluation by general physician.
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Need a few more details please consult for further evaluation and treatment
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Immediately visit a good nephrologist a kidney specialist.dont waste your time online.
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Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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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.