What does a creatinine level of 1.26 suggest?

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Posted on Tue, 16 Jun 2015 in Kidney Conditions
Question: I'm 62 yars old 206 lbs. Been very healthy. Little concerned about my kidney function. 09/23/14 my creatinine level was 1.26 as of 4/21/2015 its 1.34. my egfr was 58.00 now its 56. my a/g ratio is 2.7 and my ph level is 8. what do you think,
doctor
Answered by Dr. Prof. Kunal Saha 2 hours later
Brief Answer:
The condition requires further evaluation.

Detailed Answer:
Thanks for asking on HealthcareMagic.

I have gone carefully through the details and indeed there is reason to be concerned. The detorioration in kidney function could indicate chronic kidney failure even though the e-GFR still seems to be in the normal range. The cause needs to be evaluated and I would need to know if you have a raised blood sugar or blood pressure. There are a few tests that need to be done:
* Blood sugar - fasting. Blood for HbA1c.
* Blood for urea, liver function test, electrolytes including Calcium
* Urine microscopy
* 24 hour urinary protein + urine protein-creatinine ratio

I would suggest you to get a nephrological consultation with the above reports.

Regards
Dr.Kunal Saha
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. Prof. Kunal Saha 26 minutes later
after fasting my serum glucose was 97. glucose was negative. my urobilinogen,semi - qn is.2 specific gravity is 1,022. urine microscopy negative. BUN/creatinine ratio 16. a/g ratio 2.7 BUN21, protein -teace. glucose urine negative. serum calcium 9.8 liver function was normal
doctor
Answered by Dr. Prof. Kunal Saha 10 minutes later
Brief Answer:
The cause needs further evaluation.

Detailed Answer:
Thanks for writing back.

The blood sugar is normal. But you have not commented upon the blood pressure status. Long standing high blood pressure (which is not necessarily diagnosed early) may lead to chronic kidney injury and may have caused your situation. The urinary specific gravity is raised which indicates that certain things are getting passed onto the urine. Hence there could be a defect in the filtration as well, as apart from the kidney functioning itself. Serum calcium is normal. You need a nephrological consultation. The nephrologist will perhaps suggest you to get the rest of tests done.

Regards
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. Prof. Kunal Saha 24 minutes later
my blood pressure is 110/72.
doctor
Answered by Dr. Prof. Kunal Saha 10 minutes later
Brief Answer:
You still require the tests and nephrological consultation

Detailed Answer:
In that case, the cause is less likely to be a high blood pressure. But still the other investigations and the nephrological consultation is called for.
Regards
Above answer was peer-reviewed by : Dr. Raju A.T
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Answered by
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Dr. Prof. Kunal Saha

General & Family Physician

Practicing since :1954

Answered : 4395 Questions

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