Hello! I am a 34 year old female. At my last physical my doctor informed me she wants to monitor my kidney functions more & wants me on a diet because my GFR labs were in 2015 or 14 (can’t remember which year she stated) were at 110. My next 6 month checkup my GFR was in the 80’s, my next 6 month checkup the 70’s and now my check up on 3/31/17 my GFR was 63. I do not have high blood pressure but at 5’2″ & 175 lbs I am overweight. I don’t have diabetes although it is in my family history. She plans on seeing me in 6 months as usual and I am dieting & exercising in the meantime, but should my doctor and/or myself be way more concerned with this & see someone about it? My ankles are swollen with pitting edema from the calf down year round without let up. This edema has been since I was 20 and only 124lbs. Any insight you can give me would be greatly appreciated! It seems that my kidneys are functioning at the rate of an elderly person & I am a single,divorced mother of my 3 beautiful children so I really want to stay on top of this.

You physician is doing the proper monitoring.  I would also suggest that you have urine testing for blood, protein and blood.  This should be part of your monitoring in addition to measurement of your estimated glomerular filtration rate (eGFR).  You are already trying to treat the problem by following a good diet, exercising and reducing your weight.  If you are doing all of these things, then you and your physician are appropriately monitoring and treating your kidney function.  I also suggest that you limit your salt intake to less than 2300 milligrams of sodium per day in order to reduce the swelling in your ankles.


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