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normal GFR is above 90.
your gfr is in low range, ( creainine however is in normal range , but it takes bmi and other things into account to measuer gfr)
I recommend checking your blood pressure, Blood sugar level, ultrasound of kidneys, and urinalysis.
this may be a lab error, ( but if not, gfr of 78 IS low)
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bi you mean BMI ?
normal gfr range is 90-120 ml/min/body surface area
your gfr might be given in different units. ( can you attach a picture or tell me the units of your gfr values?
in ml/min/m2 normal is more than 90.
you can call lab and ask why did they mention it in normal range.
calculate your gfr with yyour creatinine value given from this link . ( your creatinine is within normal limits)
you can calculate without serum cystatin c values.
let me know about the values. or give me information needed and ill calculate for you.
some labs only measure if gfr is more than 60 or not.
normal range varies with age and body surface area and race.
Normal creatinine values may vary among different laboratories, and some patients with serum creatinine levels within the “normal” range may have substantial reduction in kidney function
Likewise, the rate of increase or trend of serum creatinine levels can also indicate CKD.
it is not considered CKD if ultrasound of kidneys, urinalysis, cmp is all within normal range. but we do need to check them before declaring it normal
and there can be CKD even with GFR more than 90.
so yes it takes other things into account to fully understand if it is normal or not.
one reason for that with creatinine we get only an estimate of GFR and not an actual GFR
did you get a urinalysis ? and it showed normal everything?
any comment on kidneys on ultrasound
yes , you can trust a urologist, if he said your kidneys are fine, he must have said by looking at all things.
I cannot comment at this stage without looking on ultrasound and urinalysis report. ( recent )
yes you should.
please mention swelling of your ankles and your gfr values.
since it was mri of pelvis, it may not have commented on kidneys.
yes it is not be actual gfr and is only an estimate.
cmp, and urinalysis, and ultrasound of kidneys to see the whole picture.
first we do not know if kidneys are the cause of low gfr or if this is normal.
secondly, you should definitely do exercise and lose weight . 35 bmi means you are obese class 2. it will definitely help control your blood pressure and improve your overall health status including kidneys.
yes, you can improve and control deterioration further.
some causes of ckd are reversible and some are not.
but in all the cases these measures would help controlling and preventing further decline ( may also improve and get out of ckd )
you may find this link helpful.
all labs on april 2014 are within normal limits.
for nov. 2015 all labs are normal range except for estimated GFR and I would not worry about that ,
liver function test alt , ast are in normal limits.
however to clarify more, i would like to see urinalysis and ultrasound of kidneys.
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your creatinine was not so high. (1.0) on april 2014.
your creatinine clearance was 99 which is perfectly normal. ( creatinine clearance is another way of saying GFR)
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ratio can be low due to simply low protein intake, liver failure, etc.
but your liver function tests are normal and you do not need to worry about that
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