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Dizziness with ckd

Kidney & Bladder | Last Active: Apr 5, 2023 | Replies (50)

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@mary42

Hi, I'm new to connect. I'm 80 years old. PCP has been working to stabilize my BP. I'm on Metoprolol 100mg. eGFR was 55. Then added Micardis 80mg/HCT 12.5mg. eGFR dropped to 41. One month ago, decreased Micardis to 40mg/HCT 12.5 mg. eGFR now 44. No further follow up scheduled. Next annual not until 9/23. Should I ask (insist) on repeat blood work before then?

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Replies to "Hi, I'm new to connect. I'm 80 years old. PCP has been working to stabilize my..."

@mary42 Welcome to Mayo Clinic Connect! It appears the medications you listed are used for controlling high blood pressure. As @collegeprof said, looking at trends in lab reports for kidney disease is the best indicator of how we are doing.

A few things I would like to point out, in no particular order:
- high blood pressure, along with diabetes, are the leading causes of chronic kidney disease. So, getting those under control by lifestyle and medication will go a long ways to keeping your kidneys functioning at their peak;
- lab results can vary based on your hydration levels, and even the different machines used by labs to calculate those results. A single result should not be interpreted as a "stand alone" in most cases;
- in my opinion and experience, waiting for a year to see a doctor when you have a chronic condition [for you, both kidney and high blood pressure] is not a good idea. Insist on bloodwork every three months to monitor your conditions. Do you take your blood pressure at home every day or at least twice a week?
- diet plays a large part in managing kidney disease. As does adequate hydration. Quality protein, no or few processed meats, fresh fruits/vegetable. Choose those low in potassium/ calcium/phosphorous;
- likewise, get moderate exercise, however you like. Even simple walking counts, and this time of year with seasonal changes, it can be a glorious one! Gentle stretches, swimming, yoga, Tai Chi all are doable by most people.

Yes, insist on being followed every three months. Request a referral to a nephrologist [kidney specialist]. Your health is of utmost importance to you, and being your own advocate may feel intimidating, but it lets your team know you are serious!
Ginger