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  • Progression of numbers

    My father is having kidney issues. Age 72 super healthy except he only has one kidney. Runner, swimmer, active his entire life. Not a smoker or drinker, but my mom smoked for many years (second hand smoke!). His numbers are: GFR 36, Creatine 1.95, White blood count 17.4. Now these are not deathly numbers but how long can he maintain it? Once they drop, do they just keep dropping steadily? Will a change in his diet help? He has a month before he can see a kidney doctor. Do these numbers go up and down depending on diet, exercise *which he gets plenty of* and other factors? Or is it just a gradual deterioration from here on out?

  • #2
    Hi bethkoe, welcome to myDaVita! Here is an article from DaVita.com discussing ways to slow the progression of kidney disease: https://www.davita.com/kidney-diseas...disease/e/4718. You can also discuss this with your father's local care team to determine what is best for him as everyone's needs are different.

    You both could also attend a no-cost Kidney Smart class in your neighborhood to get some of these questions answered by kidney disease education experts: http://bit.ly/2axNzHn.

    Please don't hesitate to reach out if you continue to have any questions with myDaVita!

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    • #3
      Originally posted by bethkoe View Post
      My father is having kidney issues. Age 72 super healthy except he only has one kidney. Runner, swimmer, active his entire life. Not a smoker or drinker, but my mom smoked for many years (second hand smoke!). His numbers are: GFR 36, Creatine 1.95, White blood count 17.4. Now these are not deathly numbers but how long can he maintain it? Once they drop, do they just keep dropping steadily? Will a change in his diet help? He has a month before he can see a kidney doctor. Do these numbers go up and down depending on diet, exercise *which he gets plenty of* and other factors? Or is it just a gradual deterioration from here on out?

      Welcome! I myself am also living with kidney disease, and can affect only having one kidney or having two kidneys, I have two kidneys, and GFR is 26 and creatinine is at 3.2. I'm also non-smoker and non-drinker nor do I have any big exposure to smoking. I don't know my white blood cell count, though. Besides me with kidney disease I am healthy too. I am 24 years old. It isn't deadly until it's under 15 GFR without treatment. Those numbers can be maintained for a while, perhaps years, which I don't know exactly because I was just diagnosed in April this year. I had gone to my nephrologist (kidney specialist) in February and March and my GFR was steady at about 40 and stayed until April when diagnosed with kidney disease. It could go back up at least for some time, though, or it can still go down somehow at the beginning of diagnosis and then go back up to stay steady or increase for years, but then afterwards it can go down for good unless it's possible to maintain it steady for quite a long time. In June my GFR went up from April, from 40 to 43. I was therefore diagnosed with stage 3 too. But then I saw my nephrologist again last month and the GFR went down quite a lot to 26. I went from stage 3 to stage 4 despite my renal diet following, exercising, and taking medications. But it can happen at least at the beginning, then it can either stay stable or increase some more. The disease is progressive so it can advance to kidney failure at the time to need dialysis no matter what, but it doesn't happen to everyone. The U.S. has some 26 million adults with kidney disease of all five stages and some 600,000 with stage 5 when it is kidney failure. I am on stage 4. Next month I see my nephrologist again and my kidney function may go up still, we'll have to wait and see. A change in diet helps to slow or stop the progression of kidney disease. If people don't take good care of themselves the GFR numbers surely drop quickly, but the progression to kidney failure is different at pace depending on the cause of kidney disease too. I will see if my kidney function will go up and down for next month and into 2017. I find myself being in between stages 3 and 4. Taking care of ourselves can prevent or delay going to kidney failure.

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      • #4
        Important to talk to his doctor. I work at a hospital and we often see patients his age or higher that come in with impaired kidney function due to not drinking enough. Then they start drinking water; come in with impaired kidney function again because they are drinking to much water. This is often seen in otherwise healthy elderly people. It is a thought to ask his doctor.

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