GFR - glomerular filtration rate is the best test to measure your level of
kidney function and determine your stage of kidney disease.Specifically, it
estimates how much blood passes through the tiny filters in the kidneys, called
glomeruli, each minute.GFR over 90mls/min/1.73m 2 is normal unless there is
other evidence of kidney disease , in which case CKD is stage 1.How to Prepare
for the Test:Your doctor will want to pinpoint your diagnosis and check your
kidney function to help plan your treatment.
The doctor may do the following:1.Calculate your Glomerular Filtration Rate
(GFR) , which is the best way to tell how much kidney function you
have.2.Perform an ultrasound or CT scan to get a picture of your kidneys and
urinary tract.3.Perform a kidney biopsy, which is done in some cases to check
for a specific type of kidney disease, see how much kidney damage has occurred
and help plan treatment.
According to the National Kidney Foundation, normal results range from 90 -
120 mL/min/1.73 m 2 .If GFR is 60-90 mls/min/1.73m 2 , the definition of CKD
also requires one of the above features to be present, in which case CKD stage
is 2.A GFR result below 15 mL/min/1.73 m 2 is a sign of kidney failure and
requires immediate medical attention.Other abnormalities such as having blood or
protein in the urine on testing may lead to a diagnosis of CKD despite normal or
nearly-normal GFR.
Veins and arteries vary in size from one patient to another and from one side
of the body to the other.Other risks associated with having blood drawn are
slight, but can include:Excessive bleeding.Fainting or feeling
lightheaded.Hematoma.Infection.The creatinine clearance test, which involves a
24-hour urine collection, can also provide an estimate of kidney
function.However, this method is not always accurate.GFR can increase during
pregnancy.
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