i had my blood work done yesterday for my two-months recheck with endo.
bad news first:
my GFR (glomerular filtration rate) was 31. in July when i was diagnosed it was 35, then 33 in late november, and now 31. I am two points away from Stage 4 CKD (Chronic Kidney Disease). I don’t know how to stop that number from dropping so fast.
From the National Kidney Foundation:
1) Why glomerular filtration rate (GFR) as a measurement of kidney function?
GFR is usually accepted as the best overall index of kidney function in health and disease. Normal GFR varies according to age, sex, and body size; in young adults it is approximately 120-130ml/min/1.73 m2 and declines with age. A decrease in GFR precedes the onset of kidney failure; therefore a persistently reduced GFR is a specific indication of CKD. Below 60 ml/min/1.73 m2, the prevalence of complications of CKD increases, as does the risk of cardiovascular disease.
|Table 3: Stages of chronic kidney disease and clinical action plans|
|Stage||Description||GFR||Clinical Action Plan|
|1||Kidney damage with normal or increase GFR||≥90||Diagnosis and treatment, slow progression, CVD risk reduction|
|2||Kidney damage with mild decrease GFR||60-89||Estimating progression|
|3||Moderate decrease GFR||30-59||Evaluating and treating complications|
|4||Severe increase GFR||15-29||Preperation for kidney replacement therapy|
|5||Kidney Failure||<15||Kidney replacement therapy (if uremia present and patient desirable)|
National Kidney Foundation. KDOQI Clinical Practice Guidelines for Chronic Kidney Disease: Evaluation, Classification and Stratification
now for the good news:
my A1C was 6.1! basically staying the same, even with the change from NovolinN/NovolinR to Lantus/Novolog.