Low GFR, high creatine, high BP. What type of diet and medicine should be followed?
Patient: My general practicianer just informed me that my blood test shows a GFR level of 40 and it should be 60 and my Creatinine is high at 1.3. I have high blood pressure and am on Losartan. 135/75. I see by the web that I need a special diet, but that wasn't discussed. I feel I should get a doctor that deals with kidney disease but I don't know what type doctor I should get. Any advise? Doctor: Hello,GFR is a number based on your blood test for creatinine.It tells how your kidneys are working.A GFR of 40 suggests moderate kidney disease.There should be more tests performed on you to see the extent of damage to kidneys.These tests include various kidney function tests and 24 hour urine estimation of protein.You must keep your BP below 120/80 and avoid taking nephrotoxic medicines.Keep your sugar levels normal if you are diabetic.Eat healthy food which is less in fats and salt.Exercises to be done to keep a healthy weight.You must consult a nephrologist and get yourself thoroughly investigated and treated.Thanks