GFR

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?


Answer
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