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Miami, FL
A 44-year-old female asked:

Confused my creatinine is low 0.28 but my bun cr ratio is high 28.6. i'm concern about my kidneys since i've been type 2 diabetic 22 yrs. pls advise?

3 doctor answers4 doctors weighed in
Dr. David Sneid
Endocrinology 43 years experience
BUN/creat: Is a ratio, not a test. It may just indicate that you were mildly dehydrated when the lab was drawn. Check w/your doctor for better information.
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Dr. Pavel Conovalciuc
Family Medicine 25 years experience
Dehydration: Creatinine is more sensitive than BUN in terms of assessing kidney function, although, the most sensitive would be GFR (glomerular filtration rate). Sometimes the high ration is seen in people who are dehydrated or have urea production increase such as liver cirrhosis.
Created for people with ongoing healthcare needs but benefits everyone.
Dr. Jack Rubin
Nephrology and Dialysis 50 years experience
HIgh BUN/creatinine: There are something wrong with your data. Your creatinine (c) is 0.28, which is extremely low. Your bun/creatinine ratio is 28.6, which means your BUN is roughly 10, well within normal limits. If your c is accurate, you must be a woman with very little muscle mass. As a diabetic for 22 years, you should collect 24 hour urine for creatinine clearance and protein to assess your kidney function.
Created for people with ongoing healthcare needs but benefits everyone.
Last updated Mar 12, 2016

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