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.
