Originally Posted by writeleft
I saw my nephrologist today, and I have these new labs...
I am only listing the ones that are out of range
Glucose, Serum 105 range 65-99
BUN 30 range 5-26
Creatinine, Serum 2.72 range .57-1.0
eGFR 21 range >59
Sodium, Serum 130 range 135-145
Any thoughts? Thank you, Janet
Hi Janet. The ranges don't look too bad. Have you been diagnosed with diabetes? The fasting glucose (it was fasting wasn't it?) indicates a pre-diabetes range. Nothing too serious as yet, but you will need to keep an eye on it. Which kidney problems, the bun will go up. Your's isn't that high, so I wouldn't worry too much. A meeting with a renal dietitian will let you know if you are eating too much protein.
Your creatinine is up, from what I remember before, but is still not outrageous. I was in the 8 - 9 range before I went on dialysis. The GFR is not surprising considering you have kidney issues. You know already thaat your kidneys are failing. From the looks of the sodium, you could probably add a bit to your diet. I imagine you are currently being really careful? Again, talk to your nephrology team about that. Too low sodium can be just as bad as too high.
All in all, the labs don't look too bad considering. While I think it is always important to know where you stand, it is also important to not get too obsessive about it either. Your creatinine will continue to go up, and you will progress slowly. Sometimes the labs will get better.But this is just "the nature of the beast". Sometimes your labs will go up and down, but it will be overall a downward trend. The good thing is that sometimes you can plateau, and stay stable for a while.
Best of luck to you.