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Question
I am 69 years old. My GFR in July was 56 and now is 49. 6 months ago my BUN and Creatinine were slightly elevated but upper limits of normal now. I have had hypertension (not always under good control) since my early 30's. I was diagnosed with Type 2 diabetes five years ago. My HG A1C is 6.5. My father died of kidney failure at age 82 after two years of dialysis. I am normal weight and haven't felt ill. Should I be concerned about the decrease in GFR or is it to be expected at my age?
Hi Nancy,
Thanks for asking my help on "Allexperts".
Since you have Diabetes, Hypertension and a family history of kidney disease, you must get yourself evaluated by a Nephrologist.
A careful history, physical examination, lab tests and imaging of the urinary tract are required to know if you have kidney dysfunction.
Sincerely,
Dr. Shah
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| Rating(1-10) | Knowledgeability = 10 | Clarity of Response = 10 | Politeness = 10 |
| Comment | Thanks so much for the prompt response. I will follow up with a nephologist soon. Thanks again. | ||
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Answers by Expert:
Dr. Shamik Shah, MD, DNB (Nephrology), ISN Fellow
Expertise
I can answer all questions related to kidney diseases, hypertension, plasmapheresis and kidney transplantation. I am a Board certified Nephrologist in India. I was a post-Doctoral Scholar at the Division of Nephrology & Hypertension,Department of Medicine, University of California, San Diego. My area of interest is Critical care Nephrology and Acute Kidney Injury.
Please mention the units in which your lab results were reported and the normal reference range for your laboratory.
Alternative Website
http://www.syndeohealth.com/doctors/shamik-shah/91
Experience
Seven years as a Critical Care & Transplant Nephrologist
Organizations
International Society of Nephrology
Indian Society of Nephrology
Indian Medical Association
Publications
- Shah SH, Mehta RL. “Anticoagulation in CRRT: Is Citrate better?”; Vineet Nayyar Ed. Critical Care Update 2009, Jaypee Brothers (In press)
- Shah SH, Mehta RL. “Non-dialytic management of acute kidney disease”; Evidence based Nephrology, BMJ, (In press)
- Shah SH, Mehta RL. “Epidemiology of Community-acquired AKI”; Ronco C, Bellomo R, Kellum J Eds. Critical Care Nephrology, Saunders. ISBN 1-4160-4252-0
- Abdeen O, Shah SH, Mehta RL; “Dialysis therapies in the surgical intensive care unit”; William Wilson, Christopher Grande, David Hoyt Eds. Trauma: Resuscitation, Anesthesia, and Critical Care, Informa Healthcare, NY 2007. ISBN 0-8247-2920-X
- Shah SH, Mehta RL. Acute kidney injury in critical care: time for a paradigm shift? Curr Opin Nephrol Hypertens. 2006 Nov;15(6):561-5.
- Shah, SH, Soroko S, Lischer E, Mehta RL. Delivered vs. Prescribed dose of Dialysis in Hospitalized Patients: Results of an Audit. J Am Soc Nephrol 17(Abstracts Issue): 2006, 107A.
- Shah SH et al “Biochemical Nutritional Parameters in Non-vegetarian and Vegetarian CAPD patients” Perit Dial Int 2001; 21 Suppl 2: S1-182
- Shah SH et al “Basiliximab in renal transplantation – Does it prevent acute rejections?” Indian J Nephrol 2000: 10: 100-144.
Education/Credentials
MBBS, MD (Internal Medicine), Diplomate of National board (Nephrology), ISN Fellow
Awards and Honors
Educational Ambassador of the International Society of Nephrology 2010
Fellowship of the International Society of Nephrology 2005.
Young Investigator Award by the International Society of Peritoneal Dialysis 2001
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