Elevated Creatinine
- Thread starter vrjcramos
- Start date
Really depends on your diagnosis. Treatment to improve your kidney function will certainly help.
Speaking as an HCP your creatinine level is barely over the standard bandwidth and should be fine. In addition your eGFR (derived partly from your serum creatinine level) will be used to assess your renal function.
@Pius23 while further assessment may be needed for your case, your given eGFR (57) will not put your IME assessment into Grade B (significant abnormal findings present and/or an abnormal history). If you scroll down to the section "Appendix IV: List of immigration medical examination technical instructions" and expand the section "Diabetes, hypertension, chronic renal or cardiac diseases" an algorithm/flowchart is provided for your reference. It would warrant further testing if you have any history of chronic kidney diseases or end-stage kidney diseases (eGFR <30).
Source: https://www.canada.ca/en/immigration-refugees-citizenship/corporate/publications-manuals/panel-members-guide.html#sec1.5.14.1
That chart is great. But it looks like eGFR <30 is the critical. I believe further test would be required. But Am sure also they checked for diabetes, right? Also.the PP checked my BP during the physical and cardio too. So I wonder what might be the cause. I have also never been on dialysis before,and no diabetes and hypertension diagnosed. But one thing I may be a victim is I don't drink water much and during the day of test I drank water at 1 hour yo my test 500ml.Anyway thanks again for the link very helpful
Happy to assist. Yes panel physicians check for everything (blood test, blood pressure, urinalysis etc). Sometimes people exhibit elevated blood pressure for various reasons (e.g. white coat syndrome, drinking excess amount of liquid) which prompt multiple BP measurements on the spot and even to some extent were referred to cardiologist for further assessment. I would not be too concerned in your case and as a rule of thumb, no news is good news.
There are so many reasons for kidney issues. Some ufortunately cause the kidneys to deteriorate fast so those should be eliminated. In general it would best to figure out why OP has kidney function issues and try medication and lifestyle changes to increase his lab number.
The higher the eGFR the better the renal function is. The guideline specifies all IMEs for clients with renal function impairment (eGFR < 30 mL) must be graded B. An eGFR of saying 57 would therefore be better than <30 but it's up to officer's discretion on the grading as well as the need for further testing.
Though I am not an IME expert, the assignment of Grade B (significant abnormal findings present and/or an abnormal history) does not automatically make applicants inadmissible but certainly has higher chance than the assignment of Grade A (no abnormal findings present and no significant abnormal history). Based on the overall assessment the IME officer concludes whether applicant's condition might reasonably be expected to cause an excessive demand on health or social services.
Great!!! But I just checked the estimation of the eGFR using the CKD-EPI equation. There is a race (non African American/African American).Am sure they used non African American for mine. Because if I use African American with creatinine,Age, and sex I get 66 but if I use the other is what they got 57.
As I have already specified that you need to be looking into your rental issues no matter what. You want to do whatever you can to keep your kidneys and remain healthy. If you can see a physician and identify if you have a condition that causes loss of kidney function or have kidney disease there are trearment options and changes to your diet which can improve your kidney function and your lab results. I would be adopting a diet that is easy for your kidneys to process right now which may make a difference to future lab values if they are requested. Exploring medication options would also be a good thing to do as well. If you could be healthier and lose some weight through diet an exercise that is also a way to help with things like lowering your bp and chancesvof becoming diabetic or prediabetic. The diet Would need to be a kidney friendly diet not a normal weight loss diet.