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What Does The Following Test Result Indicate?

Posted on Fri, 2 Jan 2015

Question: bun/creatine ratio 22. was a fasting value. bun11.9. creatinie .55. am a diabetic. a1c was a 5.8 at this time. gfr greater than 60. my doctor recommended at one visit that I begin med to preserve kidney function. however, severe drop in b/p possible. my normal b/p 90-100 over 50-70. declined his offer. he suggested he could raise my b/p and start this med. again I declined. indicated on my chart I did not want to start this med. other options?

Answered by Dr. Benard Shehu (22 hours later)

Brief Answer:
Please provide the tests reports...

Detailed Answer:
Hi,

I have gone through your medical history carefully and am sorry for the situation you are in.

Taking into account that you are a diabetic, such kidney function test results are indicating alteration of the kidney function most probably due to diabetes.

Before running into final conclusions, I'd like to know:
- your full blood work reports
- urine analysis report
- diabetes testing reports
- the name of medications your doctor put you in and caused drops in bp
- ultrasound or reports of other tests you did

For the moment, I advise to keep your blood sugar levels well controlled and to monitor your blood pressure.

Looking forward to have the requested data in!
Dr.Benard

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Benard Shehu (2 hours later)

Hi Dr. Shehu:
blood work: Na 141; Potassium 4.4; chloride 104; carbon dioxide 26.2; anion gap 15.2; glucose 105; creatinine 0.55; bun 11.9; calcium total9.2; gfr greater than 60; bun/creatinine ratio 22; A1C 5.8; triide 48; cholestrol171; HDL 89; LDL 72. Was fasting blood work. No urine done. Did not take med he suggested to increase my blood pressure. Nor did I take the one to preserve kidney function. He has never suggested any further tests of any kind.

Thank you, XXXX

Answered by Dr. Benard Shehu (47 minutes later)

Brief Answer:
Confirmed slight alteration of your kidneys...

Detailed Answer:
Hi back XXXXXXX

Thank you for providing more of your medical data.

From the reports you are providing, they confirm slight alteration of kidney function due to diabetes. If you don't want to start immediately renal protection treatment as ordered by your doctor, you can follow the following suggestions:
- increasing fluids (water) intake
- try your best to keep your blood sugar within normal range
- keep regular follow ups for the nephrologist
- running kidney function tests and urine analysis every 3 months. Urine analysis is important to exclude urinary tract infection (UTI) and to treat it accordingly.

If the renal function is more altered after three months than you should start the treatment recommended by your doctor.

All the best!
Dr.Benard

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Benard Shehu (2 hours later)

Thank you! Will follow your advice.
Have a great holiday. XXXX

Answered by Dr. Benard Shehu (21 minutes later)

Brief Answer:
Have a great holiday you too!

Detailed Answer:
Hi back,

It was nice to hear that my advice were somehow helpful for you.

Have a great holiday you too!
Dr. Benard

Note: For further queries related to kidney problems and comprehensive renal care, talk to a Nephrologist. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar