Understanding test results

Mom and boys
By Mom and boys Latest Reply 2009-02-19 14:00:33 -0600
Started 2009-02-18 19:49:58 -0600

I just received some of my current number back from recent blood work. My HBA1C was 6.2 YEA! But (always a but) my Glom Filt rate was >59 which from what I can tell is not real good … Should I worry? It will be another week or so before the rest of my results are in and the Dr. goes over them with me.


7 replies

jsd2005
jsd2005 2009-02-19 14:00:33 -0600 Report

Looks as if your A1c was in your target range. I wouldn't necessarily be too concerned about the GFR. It's not significantly low. Generally speaking a number of things can play into this also. illness, dehydration. The body responds by trying to protect itself and dos this by concentrating body fluids. Of this, is urine. Medications such as anti-inflammatory mes can affect GR also.
If you got HTN (high Blood pressure) along with any similar other conditions with can affect the management of your diabetes, you may at times have to change the game plan.

One single reading is not necessarily enough to get real concerned about. It just means keep you eyes open and pay attention to everything your doing and what is going on around you right now.

I you recall I wrote a discussion on the results of stress on our bodies and minds. Without even reasoning or feeling it, we always tend to think things are okay. GREAT if they are. Each end everyone of the little scenarios are all helping to learn the role of diabetes in our lives. Keep active , keep a healthy spirit and mind and manage yourself in a matter of fact way. Of course also jump through all hoops and bumps that come along.ALWAYS call on your beloved FRINEDS.

Pauline B
Pauline B 2009-02-19 12:08:33 -0600 Report

I panic, too, when my GRF consistently runs lower than 59, and the Nephrology web pages say that I am in stage 3 of kidney disease. "What shall I do?" I asked my docs. Always the answer is the same: keep the A1c "under control" (mine is 5.5), and and the blood pressure within normal limits (mine is 110/65). So I enjoy life. I have had several tests regarding kidney function that proved that so far there is nothing to fret about. I've been Type 2 for over 10 years, and take only metformin.

Mom and boys
Mom and boys 2009-02-19 12:56:26 -0600 Report

That is all the same stuff I have read. I know enough that none of my other numbers are out of wack it should be ok. I guess like the diabeties with my history I should not be suprised. I may need to just relax and enjoy life :)

2009-02-18 22:35:53 -0600 Report

Glomerular filtration rate is the rate at which the glomerulus (a microscopic part of your kidney) is able to filter your blood. It is generally calculated using the Cockroft-Gault formula based on your creatinine level (a product of muscle breakdown that is part of routine blood work) and your age and weight.

For most patients, a GFR over 60 mL/min is adequate. But, if the GFR has significantly declined from a previous test result, this can be an early indicator of kidney disease requiring medical intervention. The sooner kidney dysfunction is diagnosed and treated, the greater odds of preserving remaining nephrons, and preventing the need for dialysis.

I wouldn't worry, it's not real low and could be just a fluke. Talk to your doctor first.

*Judy

Mom and boys
Mom and boys 2009-02-19 07:07:10 -0600 Report

Judy thanks for the advise or info. I freak a little because of the strong family histroy of KD. I am only in my mid 40's so I would rather not go down that road for another 40 years :)

I will not panic yet!

roshy
roshy 2009-02-19 10:03:50 -0600 Report

Judy!

You explain things better than any doctor i have ever been to!!
Im coming straight to you next time need a medical translation! x

2009-02-19 11:53:34 -0600 Report

Thank you Roshy… Never substitute what I say for a doctor's advice though. But if you need something explained that the doc has told you.. bring it on!!

*Judy