Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
What Does High Estimated GFR Regarding Kidney Function Indicate?
Question: Hi doctor.
I am a 35 year old male.
I am diet controlled diabetic
Have well controlled blood pressure.
I am also overweight.
I have had recent blood tests done.
I had kidney function test.
My egfh was 90 in XXXXXXX this years
And then 3 weeks ago my egfh was 60>
It was done by 2 different labs in the uk.
I have slightly swollen ankles but not major. I have attached a pic to show you.
I am worried if this is kidney failure or something sinster.
The weather has been warm in the uk aswell.
I also suffer from anxiety and panic attacks so need some reassurance.
Many thanks in adcance doctor.
I am a 35 year old male.
I am diet controlled diabetic
Have well controlled blood pressure.
I am also overweight.
I have had recent blood tests done.
I had kidney function test.
My egfh was 90 in XXXXXXX this years
And then 3 weeks ago my egfh was 60>
It was done by 2 different labs in the uk.
I have slightly swollen ankles but not major. I have attached a pic to show you.
I am worried if this is kidney failure or something sinster.
The weather has been warm in the uk aswell.
I also suffer from anxiety and panic attacks so need some reassurance.
Many thanks in adcance doctor.
Brief Answer:
Kidney
Detailed Answer:
I cannot see any attached report.
Kindly try again
An eGFR of more than 60 is a way of reporting kidney function in a manner that is not exactly desirable. It is vague and non specific
What matter is the absolute serum creatinine value. Would you know that number?
Further may I know if you have had other tests done that will give a better understanding of how to interpret this eGFR value.
These tests include
CBC
HbA1c
TSH
Lipid profile
Urinary micro albumin to creatinine ratio (or simply urinary albumin excretion)
Electrolytes
Bicarbonate
Calcium
SGOT
SGOT
Albumin
Globulin
Total proteins
I see your diabetes and blood pressure are well controlled but it would still be necessary to have a dilated eye examination by an ophthalmologist to look for evidence of damage to the eye from both these conditions. It also serves as corroborative proof as to whether the diminished eGFR can be ascribed to Diabetic Kidney disease.
But first please note, as I said earlier, many laboratories report a perfectly normal eGFR as '> 60'. This does not imply any kidney problems at all.
The above blood tests will also give an idea as to the cause of the ankle swelling. May I also know which medications you are on?
Kidney
Detailed Answer:
I cannot see any attached report.
Kindly try again
An eGFR of more than 60 is a way of reporting kidney function in a manner that is not exactly desirable. It is vague and non specific
What matter is the absolute serum creatinine value. Would you know that number?
Further may I know if you have had other tests done that will give a better understanding of how to interpret this eGFR value.
These tests include
CBC
HbA1c
TSH
Lipid profile
Urinary micro albumin to creatinine ratio (or simply urinary albumin excretion)
Electrolytes
Bicarbonate
Calcium
SGOT
SGOT
Albumin
Globulin
Total proteins
I see your diabetes and blood pressure are well controlled but it would still be necessary to have a dilated eye examination by an ophthalmologist to look for evidence of damage to the eye from both these conditions. It also serves as corroborative proof as to whether the diminished eGFR can be ascribed to Diabetic Kidney disease.
But first please note, as I said earlier, many laboratories report a perfectly normal eGFR as '> 60'. This does not imply any kidney problems at all.
The above blood tests will also give an idea as to the cause of the ankle swelling. May I also know which medications you are on?
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hi doctor here are the reaults. Done around 5 weeks.
Hipe this helps.
I am taking amlodopine 5mg and lisinopril 10mg. Nothing for diabetes.
Hipe this helps.
I am taking amlodopine 5mg and lisinopril 10mg. Nothing for diabetes.
Brief Answer:
Follow up
Detailed Answer:
I have reviewed the results
The kidney function is normal. The > 60 is just a manner of reporting that is convenient to many labs.
However I see some other results out of range. I was most alerted by the low calcium levels. I suggest you see an endocrinologist in person to investigate the cause for this. It must be pursued urgently if it is a true anomaly.
Follow up
Detailed Answer:
I have reviewed the results
The kidney function is normal. The > 60 is just a manner of reporting that is convenient to many labs.
However I see some other results out of range. I was most alerted by the low calcium levels. I suggest you see an endocrinologist in person to investigate the cause for this. It must be pursued urgently if it is a true anomaly.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Why do I need to see that doctor? Please reassure me. Many thanks.
Brief Answer:
Second follow up
Detailed Answer:
You seem to have a low blood calcium level, the medical term for which is 'hypocalcaemia'.
That doctor will attempt to ascertain if that is a true abnormality in your blood versus a false impression only. He or she will interpret the entire set if labs you have had to make that determination in addition to further testing if deemed necessary
Second follow up
Detailed Answer:
You seem to have a low blood calcium level, the medical term for which is 'hypocalcaemia'.
That doctor will attempt to ascertain if that is a true abnormality in your blood versus a false impression only. He or she will interpret the entire set if labs you have had to make that determination in addition to further testing if deemed necessary
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
What does this mean doctor? So are you sure my kidneys are ok?
Brief Answer:
Third follow up
Detailed Answer:
The kidneys appear ok but there are more accurate tests like 24 hour urine creatinine clearance to determine kidney function. The eGFR as the name suggests is an 'estimated' GFR (Glomerular Filtration Rate)
Third follow up
Detailed Answer:
The kidneys appear ok but there are more accurate tests like 24 hour urine creatinine clearance to determine kidney function. The eGFR as the name suggests is an 'estimated' GFR (Glomerular Filtration Rate)
Note: For further queries related to kidney problems and comprehensive renal care, talk to a Nephrologist. Click here to Book a Consultation.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
