6d • Ask Dr. Arjun
Anxious about raising urea and creatinine
Age + Condition
55M, Nodular Glomerulosclerosis with nephrotic proteinuria. Previously BP and sugar uncontrolled but now controlled.
Key numbers (BP, creatinine/eGFR, ACR, HbA1c)
Bp - 140/80
ACR: 5654 mg/g (A3 severe proteinuria)
Creatinine: in January 1.9 urea 42
After fenofibrate + rosuvastatin (prescribed by my nephrologist to lower uacr)→ Creatinine 2.8, Urea 60 in February
After stopping fenofibrate for 1 week → Creatinine 2.3, Urea 45
Now on atorvastatin 80 mg → Creatinine 2.82, Urea 72 ( in march )
Potassium: 5.69
Phosphorus: 5.54
Sodium: 140
Current medicines
Alpha ketoanalogue, dapagliflozin, nefrosave, atorvastatin 80 mg.
1-line question
Lipid profile mostly normal (HDL slightly low). Since statins/fenofibrate seem to increase creatinine and cause stomach irritation, are high-dose statins still necessary in CKD with heavy proteinuria?
Feeling
Confused and anxious.
1
2 comments
Anxious about raising urea and creatinine
skool.com/drarjun-kidney-health-club
Your doctor sees you for 10 minutes. This club supports you all month - with people who are going through the same problem.
Leaderboard (30-day)
1
+7
2
+6
3
+6
4
+6
5
+5
Powered by