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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Does A Rapidly Declining GFR Warrant Immediate Medical Attention?

What would cause a rapid decline in GFR? My GFR WAS 78, 5/1, GFR 56 7/31 with creatinin 1.05, GFR 39 on 9/22 with creatinin 1.42. My Dr has given me a referral to a nephrologist, but they said it may be a couple of weeks or more. I am a 66 year old female, I recently started taking metformin for high fasting glucose, but i have not been diagnosed with DM. I have high cholesterol and high triglycerides. Which I take Fenofribrate and livalo. I am also obeses. I am also a retired dialysis RN so I do not want to damage my kidneys by waiting for 2-3weeks. Is this an emergent situation?
Tue, 31 Jul 2018
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Pulmonologist,  's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

Yes, this is emergency situation. GFR is glomerular filtration rate. It suggests kidney function. You are having rapid decline in GFR with increasing creatinine. These suggest impending acute renal failure. You are also old aged, obese, having dyslipidemia. So you are at more risk of kidney damage. So consult neonatologist as soon as possible.

Hope I have answered your query. Let me know if I can assist you further.
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Does A Rapidly Declining GFR Warrant Immediate Medical Attention?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Yes, this is emergency situation. GFR is glomerular filtration rate. It suggests kidney function. You are having rapid decline in GFR with increasing creatinine. These suggest impending acute renal failure. You are also old aged, obese, having dyslipidemia. So you are at more risk of kidney damage. So consult neonatologist as soon as possible. Hope I have answered your query. Let me know if I can assist you further.