eGFR levels cause for concern?

Posted by alwaysworried @alwaysworried, 2 days ago

My recent bloodwork showed I have a eGFR of 57 and my creatinine was 1. Over the years my eGFR has vacillated from 61 in 2008 to 63.22 in 2019; 56 in 2023; 57 in 2025.
I noticed the most recent level was flagged although my primary didn't call me. I don't know if he even looks at lab results. I asked him if I should be concerned and he said it looks like I have early kidney disease. I can't get in with a nephrologist until late December and I'm panicked that I have kidney disease. From what I've written, can you tell if this is a valid concern or am I being my usual worried self? I am female, 74; no family history of KD; blood pressure 100/60 usually, never much higher; weight normal at 120 for my height of 5'3". I feel great other than panic! Thank you.

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@alwaysworried Welcome to Mayo Clinic Connect.
Per National Kidney Foundation guidelines, you are on the edge of Stage 3A kidney disease. https://www.kidney.org/kidney-topics/estimated-glomerular-filtration-rate-egfr

If I were you, I would get that appointment in late December for a nephrologist, and then ask to be placed on a cancellation list in case you can get in earlier. Not that this is an emergency, please note.

As we age, our eGFR levels may naturally slide down a bit. Our primary care providers often do not get much education/training on kidney disease or when to be concerned, much to the dismay of their patients who suddenly find out they have a treatable condition! At this point, in my humble opinion, I would be watching your intake of sodium, calcium, potassium, phosphorous, processed meats. Stop using NSAIDS like Aleeve and aspirin. Good hydration, moderate exercise, good rest, reduced stress. Here is a renal friendly diet from Mayo Clinic: https://www.mayoclinic.org/healthy-lifestyle/recipes/kidney-renal-diet-recipes/rcs-20522796

Sometimes our kidney concerns are a result of diabetes left untreated, or high blood pressure, or medication side effects, so it is good to definitely rule those out. Don't panic, remember to breathe, educate yourself using reliable tools like Mayo Clinic, Cleveland Clinic. Dr. Google can lead you down a rabbithole of misinformation and panic, so just don't go there!
Ginger

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Considering what you have shared, I think an appointment with a Nephrologist in December is soon enough. Your eGFRs are fluctuating, not moving in one direction, and they are at the beginning of showing possible Kidney disease. Your Blood Pressures are stable and that is another plus for you.
I am at State 4 Kidney Disease, so I feel confident telling you that it is a slow moving disease and continued testing will indicate when/if you need to treat and or make any lifestyle changes.

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Profile picture for Ginger, Volunteer Mentor @gingerw

@alwaysworried Welcome to Mayo Clinic Connect.
Per National Kidney Foundation guidelines, you are on the edge of Stage 3A kidney disease. https://www.kidney.org/kidney-topics/estimated-glomerular-filtration-rate-egfr

If I were you, I would get that appointment in late December for a nephrologist, and then ask to be placed on a cancellation list in case you can get in earlier. Not that this is an emergency, please note.

As we age, our eGFR levels may naturally slide down a bit. Our primary care providers often do not get much education/training on kidney disease or when to be concerned, much to the dismay of their patients who suddenly find out they have a treatable condition! At this point, in my humble opinion, I would be watching your intake of sodium, calcium, potassium, phosphorous, processed meats. Stop using NSAIDS like Aleeve and aspirin. Good hydration, moderate exercise, good rest, reduced stress. Here is a renal friendly diet from Mayo Clinic: https://www.mayoclinic.org/healthy-lifestyle/recipes/kidney-renal-diet-recipes/rcs-20522796

Sometimes our kidney concerns are a result of diabetes left untreated, or high blood pressure, or medication side effects, so it is good to definitely rule those out. Don't panic, remember to breathe, educate yourself using reliable tools like Mayo Clinic, Cleveland Clinic. Dr. Google can lead you down a rabbithole of misinformation and panic, so just don't go there!
Ginger

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@gingerw Thank you for your reply. I will call today to see if he has a cancellation list, but I no longer feel panicked! I am so happy to have found Mayo Clinic's site. I stumbled upon it.
I rarely take NSAIDS but, now that my kidneys are a concern, I definitely won't.
Thank you so much.
Lynn

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Profile picture for 2011panc @2011panc

Considering what you have shared, I think an appointment with a Nephrologist in December is soon enough. Your eGFRs are fluctuating, not moving in one direction, and they are at the beginning of showing possible Kidney disease. Your Blood Pressures are stable and that is another plus for you.
I am at State 4 Kidney Disease, so I feel confident telling you that it is a slow moving disease and continued testing will indicate when/if you need to treat and or make any lifestyle changes.

Jump to this post

@2011panc
Thank you for responding. I'm sorry that you are at Stage 4 but glad that it is slow moving. I wish you well.
Your words really calmed me down and I appreciate it. Medical issues are always scary but at least now I know I'm not on the verge of collapse!
Lynn

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@alwaysworried I am roughly at same levels as you. EGFR Used to be 64 7 years ago. Worrying doesn’t help, turn that thought process around, whatever method you choose.

@gingerw sums it up nicely. I would add, YouTube provides an info on the disease and diet as well. STOP any NSAIDs, use Tylenol for pain (it’s processed by the liver, not kidneys). I do not follow the diet guidelines perfectly, but I believe I am stabilized for now. Watch your water intake, but don’t overdo it. (I did, because I worried too much.) Nephrologist told me to drink X glasses per day, stop over-supplementation and things stabilized.

You are going to be OK.

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