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Somebody tell me why CKD stage 3a or 3b is no big deal.

Kidney & Bladder | Last Active: Oct 11 3:55pm | Replies (40)
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@windyshores

None of my doctors reacted much to my eGFR of 36. Even though it was a sudden drop. I was glad to get a much higher eGFR from Cystatin C (51). I was told the truth lies in between. I am not sure whether a nuclear contrast study would harm kidneys. I avoid all contrasts that affect kidneys: @college prof may know something I don't.

Hydration and avoiding NSAID's also help. My creatinine based GFR is still 40. Because I am on (low dose) Reclast for bones I did get some extra tests but otherwise I think my nephrologist would have seen me in a year. Apparently the key is whether it is stable.

I do not have high blood pressure which would need to be addressed as well, with meds and/or diet.

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Replies to "None of my doctors reacted much to my eGFR of 36. Even though it was a..."
collegeprof | @collegeprof | Oct 11 9:59am

@windyshores I urge you to talk with your nephrolgist about the nuclear study. Why would Mayo and other major hospitals use contrast that would harm the kidneys for a kidney function test? A CT scan uses a different dye not suitable for CKD patients. @looplu79

You are correct that the answer lies between the 2 common tests as a formula is reached by the National
Kidney Founation that nephrologists use. Much of the measurement that a nephrologist also observes is the trend of the sodium, phosphorous, and potassium levels when comparing the 2 eGFR tests. For example, if you have a eGFR creatinine score of 45 and a Cystatin C score of 23, a nephrologist would give "slightly" more relevance to the Creatinine score if sodium, potassium, and phosphorus levels had a normal trend. That is why the nuclear test is so helpful.

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