My father-in-law, white age 89, has a microalbumin/creatinine ratio of 720. He has recently been diagnosed with type 2 diabetes and it is controlled with Actose and Metformin. He also takes Amlodipine Besylate for high blood pressure. A1C is 5.7. He has been diagnosed with Chronic kidney disease, Stage 3 moderate and told to avoid Advil and Aleve. He is experiencing swelling in his ankles. He self caths and has had a severe uti. I am very concerned about his kidney function. His family doctor says there is no need for concern. Should my father-in-law see a Nephrologist for further treatment?

Most primary care physicians (PCP’s) are very well able to manage patients with Stage 3 chronic kidney disease (CKD).  I commonly recommend referral for to a nephrologist when the estimated glomerular filtration rate (eGFR) is less than 30 milliliters per minute per 1.73 meters squared (or Stage 4 CKD).


This entry was posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, Diabetes, GFR, Kidney-Related Health Questions, Laboratory Testing, Symptoms and Side Effects, Treatments. Bookmark the permalink.