Thanks for writing in.
A GFR of 51 ml/min/m2 would mean that you have stage 3 chronic kidney disease(CKD). Generally speaking, chronic kidney disease can be expected to progress even if the underlying cause has been treated ( in your case, it would mean even after SLE has been controlled). Generally, rate of progression would depend on a number of factors including degree of albuminuria
, calcium, bicarbonate and phosphate levels in the serum. Also, it would mean keeping your blood pressure under control and reviewing your medication with your nephrologist
( as a lot of drugs affect the kidney or are excreted by the kidney)
Overall, rate of progression is slow and its only when you reach stage 5 CKD, we would need dialysis
or a renal transplant for you. However, it is important that you lead a healthy lifestyle and control things like high blood pressure
and sugar levels as more people with CKD succumb to cardiovascular disease
than CKD itself.
Hope this helps.