Connect
← Return to Can somebody tell me why CKD stage 3a or 3b is no big deal?
Discussion
Can somebody tell me why CKD stage 3a or 3b is no big deal?
Chronic Kidney Disease (CKD) | Last Active: Apr 24 5:15pm | Replies (76)Comment receiving replies
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.
Replies to "None of my doctors reacted much to my eGFR of 36. Even though it was a..."
Connect
@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.