A member asked:

65 year old male, 62, 172 lbs. last serum creatinine 187, egfr 32. k, na, cl, phos wnl. no proteinuria or diabetes, cholesterol hdl, triglycerides, ldl normal. exercise by 30 mins/day. plant based diet. avg b/p 123/82. should i take b/p med? thank?

Q: 65 year old male, 62, 172 lbs. last serum creatinine 187, egfr 32. k, na, cl, phos wnl. no proteinuria or diabetes, cholesterol hdl, triglycerides, ldl normal. exercise by 30 mins/day. plant based diet. avg b/p 123/82. should i take b/p med? thank?

: Your diastolic pressure is mildly elevated for a person with advanced chronic kidney disease but base on your age and no history of DM or proteinuria, I do not put you on antihypertensive medication unless your heart function is poor with left ventricular EF less than 30%. You do not have HTN, DM,and proteinuria so I wonder what your CKD cause is. Is it heart disease, ADPKD, or nephrotoxic injury?

2 doctors weighed in across 2 answers

Dr. Hiep Le answered

Specializes in Nephrology and Dialysis

Your diastolic pressure is mildly elevated for a person with advanced chronic kidney disease but base on your age and no history of DM or proteinuria, I do not put you on antihypertensive medication unless your heart function is poor with left ventricular EF less than 30%. You do not have HTN, DM,and proteinuria so I wonder what your CKD cause is. Is it heart disease, ADPKD, or nephrotoxic injury?

Answered 10/13/2021

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Dr. Gurmukh Singh answered

More than blood pressure your eGFR is of concern. You ought to consult a nephrologist to ascertain the cause of kidney insufficiency and prevent further deterioration. Visit this site for info: https://www.kidney.org/atoz/content/gfr Wish you good health!

Answered 10/14/2021

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A member asked:

65 year old male, 62, 172 lbs. last serum creatinine 187, egfr 32. k, na, cl, phos wnl. no proteinuria or diabetes, cholesterol hdl, triglycerides, ldl normal. exercise by 30 mins/day. plant based diet. avg b/p 123/82. should i take b/p med? thank?

2 doctors weighed in across 2 answers

Dr. Hiep Le answered

Dr. Gurmukh Singh answered

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