Might be normal: Gfr of 59 is technically stage 3 chronic kidney disease but if there is no proteinuria or abnormal cells in urine it may just be related to aging. All kidney patients should try for optimal blood pressure control with systolic blood pressure target 135 or less.
Answered 11/28/2013
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GFR @ 59 ml.min: Gfr is a measure of kidney function, but is affected by many factors, especially the pt's state of hydration. Once true renal function is compromised it is usually not recoverable. Do not lose overall renal function: always remain hydrated (uop > 2 quarts/24 hours), avoid/eliminate salt (sodium) from your diet, manage co-morbidities (eg lose weight, keep dm/htn under control).
Answered 3/2/2013
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