Doctor insights on:
Ckd Epi Accurate
NO: Diabetes is diagnosed when fasting blood sugar is over 125. Diastix detect sugar in the urine which occurs only when the blood sugar is over 180, so it would miss a lot of cases. Also, if someone has eaten a lot of sweets or other carbs, their blood sugar might go over 180 for a brief time, but return to normal quickly, so they aren't diabetic, but diastix would show sugar in the urine. ...Read more
Chronic kidney disease (CKD), also known as chronic renal disease, is a progressive loss in renal function over a period of months or years. Chronic kidney disease is identified by a blood test for creatinine. Higher levels of creatinine indicate a decreased capability of the kidneys ...Read more
A Drink/Bloodwork: Some obs do this at their office, or you go to a lab. The test is done first thing in the morning after you have not eaten overnight. They draw your blood to check the "fasting" (pre-breakfast) blood sugar, then you drink a bottle of liquid with 75 grams of sugar. Blood is drawn at 1, 2, and 3 hours after the drink. If 2 of 4 levels are elevated then you'll be diagnosed with gestational diabetes. ...Read more
HELPFUL: In the context of your symptoms and other laboratory data. ...Read more
Qualified OK: Fluorescein is the agent most commonly used for a Eye dye test - only contraindication is a known hypersensitivity and intrathecal or intra arterial use - as per the manufactures insert - no dose adjustment is necessary for impaired renal function - A careful review of all medications you take is also necessary particularly beta blockers ...Read more
Ana positive 160 with lambda bj protein in urine (total 2 gm/day). Diabetic ckd r/o myeloma. Creatinine 1.5-2.6 variable. Hem unaware of lcdd. Steps?
Multiple myeloma: Multiple myeloma diagnosis needs more information, need the hemoglobin level, calcium level, need serum immunoglobulin level and urine BJ protein of course. Some times you may need a bone marrow biopsy for the confirmation of the diagnosis. You need to see an Oncologist/Hematologist ...Read more
Urine not diagnostic: Hi. The tests for diabetes (fasting glucose, post-challenge glucose, 3-month average glucose, and random glucose) all have their strengths and weaknesses. A1c is an excellent test and vital to the modern management of diabetes; it's NOT the most sensitive diagnostic test, however. Fasting and post-challenge glucoses can both reveal more subtle abnormalities. Random glucose is a blunt instrument. ...Read more
Diabetic. Meter # reads 397 ketones alert, meter #2 is 343. Taking insulin, wich should I use as accurate?
Plz help my father kidney function tests tells that
serum urea 120 mg/dl
serum creatinine 2 mg/dl.
is these results means renal failure ?
Hi ,would you say this is stage 1 ckd serum creatinine 56umol,serum potassium 4.6 ,sodium 140mmol. GRF calcuated abbreviatd MRDR 90ml/min1.73m2. )?
Yes: Stage 1 CKD is defined as a GFR of 90 or more with some kidney function abnormality. Normal kidney GFR ranges 90 to 110 for more people but increases with certain conditions, especially pregnancy. If your urine is normal, blood pressure is normal and other blood tests are normal, you have normal kidney function. ...Read more
How acurate are at home hemoglobin monitors ? Can i rely on this monitor to show accurate hemoglobin levels?
See below: These are only moderately accurate but give you a fairly decent idea of your hemoglobin for instance if it should drop suddnley that would be significant. ...Read more
I had one more quick question. If bun 25, creatinine 1.5, bun/creat ratio 17, egfr 58...The egfr means im in stage 3 CKD right? 58% kidney function?
Stage 3 CKD: You are correct in that your estimated GFR of 58 ml/min puts you into stage 3 chronic kidney disease. Remember, your GFR is estimated. The actual result may be greater, or lower, than the egfr. To get your acutal gfr, have a 24 hour urine for creatinine clearance. Ask the physician who orders this test to have proteinuria (p) assess in that sample. If p is present, it may needed to be treated. ...Read moreSee 1 more doctor answer
How accurate is regular c-reactive protein test vs. High sensitivity CRP in determining heart disease risk? I was given regular test not sensitive.
Yes: U need cardio-crp to be cardiac specific! ...Read more
Can fasting glucose reading be greater than pp in non diabetic person
First is fasting reading
Hb1ac - 5.3
Protein Urine Random 35 Creatinine, Ur 143.0 Protein/Creat Ratio 0.2 mg. commet Nephrotic ratio> 3.5 No standard values given. kidneys ok??
Proteinuria: Protein/creatinine ratio of 0.2 is within the normal reference range. So, there is no significant increase in urine protein. I am concerned about hematuria and painful joints. Is hematuria repeatedly present? Is BP normal? Why swollen feet? What other testing has been done? Is ANA present? Have you had a recent infection? Is serum creatinine changing? Is urine albumin/creat ratio known? ...Read moreSee 1 more doctor answer