I am a 32 yo obese female and at a recent routine visit with my PA, was told that my GFR was low at 59.7 mL/min/1.73m. The only information I was provided is that normal values for someone of my age should be near 80, and that my results may be a result of NSAID use or dehydration. I do use Aleve as needed for headaches or joint pain, but I do not use it on a daily basis. I immediately had concern of early kidney disease but my provider did not offer any other suggestions/information. Since researching the lab result online, I have found multiple sites that discuss albumin presence in urine. I looked back into my chart because I knew that have had 2 UTIs in the last couple of years and found that there was trace albumin in 2014 and 30 (not sure what unit?) in June 2015. Nothing was ever mentioned to me about those results in the past, I was only given a prescription for antibiotics at those respective times. In an attempt to lose weight, I have not consumed sodas/tea in over 2 years, and do my best to drink only water; but do usually have a glass of milk daily and some times drink PowerAde. I’m sure I do not drink as much water as I should, and I have a bad habit of drinking less water over the weekends. I am worried that my provider is not showing enough concern for my current lab results and feel it is reasonable to get a referral to a specialist, which I assume would be a nephrologist. Without the feeling of utmost trust in my current provider, I am just hoping for some guidance about if my feelings about seeing a specialist is warranted. Thank you so much for any guidance you are able to provide.

A normal result for an estimated glomerular filtration rate (eGFR) is greater than 60 milliliters per minute per 1.73 meters squared.  Your result is slightly lower than that. In order to qualify as chronic kidney disease (CKD), this result must be repeated over 3 months and determine if it remains low.  I agree that urinary testing for albumin should also be done.  You should ask your provider for repeat testing and see if these results remain over 3 months.  I suggest that you consult with your provider about these issues.



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