GFR and Kidney failure

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Regular Member

Date Joined Oct 2006
Total Posts : 221
   Posted 1/14/2008 2:15 PM (GMT -6)   
So, I am officially diagnosed with SLE today.  sad   My malar rash, which happened to be glowing at my visit, my temp of 100.7, and my bloodwork from my last visit all seemed to line up just right today.  Ive been in a nasty flare over the past few weeks, and my rheumy finally got to witness it first hand. 
My question is this....  My GFR on my bloodwork is really low.  Its sitting at 84.  According to the chart, thats Stage 2 renal failure.  I didnt even know I was in stage 1.  I'm supposed to eat a low protein diet and take the Cellcept I've been given.  How long will this stage last?  Is it a stage that can be maintained and not get any worse?  Are there things I can do to make sure any more damage to my kidneys is minimal?
Mother of four, full time Systems Analyst
Sjogrens, Crohns, suspected Lupus, Pancreatitis Dec. 2005
Meds:  Medrol injections; Plaquenil 400mg, Vicodin, Benadryl, Zyrtec

Veteran Member

Date Joined Oct 2004
Total Posts : 2244
   Posted 1/14/2008 5:40 PM (GMT -6)   
(((( Victoria ))))) bless your heart! I am sorry you got the SLE dx but I know in a way you are probably relieved. Now you know what you are up against and know how to fight it!

I've had a kidney scare in the past and actually just turned in a 24 hr urine collection yesterday to monitor things, now waiting on the results. So I've done some research on this and what I gather is going on the low protein and cellcept should get your kidney function under control. The numbers vary according to your age, weight, height, etc. I have a friend that had some LOW I mean very low numbers and she corrected it with just the change in diet, eliminating red meat and her numbers are much better now. So, take a deep breath, watch your diet, take your meds, keep all the appts with your doctors and if you feel the need get a second opinion from a kidney specialist. Kidneys are nothing to mess around with. I am sure your doctor will keep a close eye on you and in the meantime read all you can about kidney's and lupus.

Take good care of yourself and let us know how you are doing.

Trust in the Lord with all thine heart, and lean not unto thine own understanding ~ Proverbs 3:5 ~

DX: Hashimoto's 1999, Celiac Disease (AKA: gluten sensitivity) 2003, Raynaud's 2004, Lupus 2005 and Sjogrens 2006
Meds: Imuran, Plaquenil, Flexeril, Piroxicam, Levoxyl, Folic Acid, Lortab (as needed), Magnesium Citrate and magic mouthwash (as needed for mouthsores)

Veteran Member

Date Joined Jan 2005
Total Posts : 8616
   Posted 1/14/2008 8:05 PM (GMT -6)   
((((((((Victoria))))))))) Sorry sis . . . I sure don't know much about kidney issues . . . but wanted to send yo a hug . . sounds like you've had quite a day.

Some hot tea for you . . . and a hug.


In His Grip

AlwaysRosie           "We can't control the waves, but we can learn how to surf!!"

Psalms 139

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UCTD, Hashimotos, Inflammatory Bowel, Inflammatory Arthritis

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New Member

Date Joined Dec 2007
Total Posts : 14
   Posted 1/15/2008 7:58 PM (GMT -6)   
Victoria, welcome and sorry about having Lupus. The good thing is you know what you have. Sometimes the unknown is worse. I was diagnois with Kidney disease stage 2 & 3 about 8m ago. I've been as low as 30. Do what the doc says, don't skip appointments and continue to educate yourself. I'm new to this site but it has been helpful so keep listening. :)

Veteran Member

Date Joined Dec 2006
Total Posts : 2818
   Posted 1/15/2008 8:09 PM (GMT -6)   
Hi Victoria, I'm sorry you are going thru this I guess the good news is now you know why ya feel like crap! I'm sorry you are going thru this flare but at lest it happened at a good time. I really don't know much about kidney's either but it sounds like others here have had good advice for you. I try not to check out my lab tests too much because they always change and they confuse the heck out of me. Half of the things that seem really bad to me the doctor blows off. Not that it will stop me from asking the questions just try not to drive yourself crazy. The last thing you need right now is more stress.
keep us informed and try to rest as much as possible until you get past this latest flare!
God Bless
Lupus like symptoms, with pbc symptoms, stage 4 COPD w/CHF,  Cancer survivor.  Osteoporosis,osteoarthritis
Prednisone,Plaquanil800mg,vicodin 4x5mg,Evista60mg, Effexor 150mg, HCTZ25/Triamterene37.5mg,Xanax x3,Singular,nitro spray, aciphex, diovan. 
Only two defining forces have ever offered to die for you: 1. Jesus Christ 2. The American G. I

Veteran Member

Date Joined Jan 2005
Total Posts : 659
   Posted 1/16/2008 10:34 PM (GMT -6)   

Hi Victoria,

According to my lab sheet less than 60 is impaired renal function and greater than 80 is normal renal function. Mine runs in the 40s. Even though 84 sounds low according to lab values it is normal. Is your creatinine elevated? Do you have low blood albumin or protein in your urine? I would think a low protein diet and cellcept would take care of things but if you have problems I would consult a nephrologist.


DX: Kidney Disease, (? Lupus Nephritis) 2002
DX: Raynaud's Phenomenon and Lupus (SLE & Class V Lupus Nephritis) 2005
DX: Anorexia and Hypokalemia 2006
meds: plaquenil, amiloride, klor-con

Veteran Member

Date Joined Jul 2005
Total Posts : 5403
   Posted 1/17/2008 12:13 PM (GMT -6)   
Victoria, I just wanted to tell you that I'm sorry you are going through this and that my thoughts are with you. Please keep us updated. (((((hugs)))))
Diagnosis:  UCTD (lupus) 2006; Raynauds 2006; Sjogren's 2006; lupus symptoms began 2003; CFS 1991; Mono 1985
Meds:  Plaquenil 400mg; Prednisone 5-10mg; Tramadol 100mg 3-4x daily; Doxepin 25-50mg; Prevacid; Steriod Cream and Mouth Rinse for tongue and mouth ulcers; Hydrocodone 5/500 prn for severe pain; Artificial tears



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