I'm not absolutely sure if I have CKD but when I went to my endocrinologist, he told me that my potassium was high and so was my creatinine. He said my Metformin was making my creatinine high (2.20) and my lisinopril was making my serum potassium high (5.6). My BUN is 42 and my eGFR is 23. He just talked about the lab test values (see at bottom). He also said I am anemic because my RBC, hematocrit, and hemoglobin (10.4) are low. So he said to switch to new more expensive prescriptions for diabetes and hypertension. He NEVER said the words "chronic kidney disease".
I stopped by his office a few days later and asked the desk person for a copy of the office notes. I saw, along with the various diagnoses I told him about in my health history, he wrote I have "chronic kidney disease". WTF? I look it up on Google and it scares the ?@&$! out of me. I'm supposed to see him again in a few months. I called his office and said I had some questions. They said they'd ask him and get back to me. They called me back and told me he said to go see a nephrologist. Nephrologists are all booked up through January but I made an appointment anyway for late January. I'm a 67 yr. old Caucasian female with diabetes II and hypertension for the last 20+ yrs. Diabetes is all through my family. My dad died of CKD and said it was horrible and never to agree to dialysis. Said it's worse than death. I don't think I have CKD. My creatinine and BUN are always high and nobody ever told me before that I have CKD. I live alone, have no relatives and no support network so I don't want a transplant or dialysis. I'm not even positive I have CKD. I just always have had high creatinine and low hemoglobin, ever since I started getting labs done 12 yrs. ago when I had a gastric bypass surgery for obesity. I am sustaining a 230 lb. weight loss, but I'm still obese. I don't want to believe I have CKD. Or maybe it's just a little inconvenience like my hypertension and diabetes.
Any comments or suggestions?
Creatinine, Serum 2.20
eGFR If NonAfricn Am 23
BUN/Creatinine Ratio 19
Sodium, Serum 142
Potassium, Serum 5.6
Seeing a nephrologist is the best thing you can do now. Yes it does look like you have kidney issues . The BUN and creatinine are both elevated a fair amount, especially for a female. The anemia isnt doing your kidneys any favors either.
Now that being said, you may be fairly stable even with those numbers and may be able to maintain kidney function. That is where the nephrologist can be the key. A nephrologist can help you protect what you have left .
You may never reach complete ESRD . But if you do, dialyisis these days isnt horrible. My wife has been on it 2.5 years and does quite well. She still goes to the office with me 3 days per week. So it isnt a death sentence.
Take some deep breaths , and try to take this one step at a time. See the nephrologist and get the help you can to preserve what you do have left.