Kidneys 101 - educate me

So, I go to the Doc this morning for a blood work up and urine sample and they said they were referring me to a Kidney specialist because my numbers weren't right.  My albumin was 179 and my creatine was something like 4.  I'm really confused and admit that I don't know anything about what these numbers mean or what will happen when I get to the specialists office... 

If anyone can help educate me on this, I would greatly appreciate it....  Kristi

well...u are going through what is called diabetic'll have to be put on ACE inhibitors or whatever other option ur nephrologist may suggest to should consult a nephrologist's better if ur endocrinologist and nephrologist are there with you at the same time so you can understand the problem and take proper treatment for it.believe me u can take control over it.another thing i must tell u as a doctor...nephropathy and retinopathy go parallel to eachother so,if u havent had any eye examination done recently,get it done fast!

good luck!!!

Creatinine in the blood gives an idea of how well your kidneys are removing wastes.  Creatinine is removed at a steady rate by the kidneys, so healthy kidneys should keep a serum creatinine less than 1.5.  most creatinines are about 1.  4 is scary.  Most of the dialysis patients that I take care of live life with their creatinine in the 5-6 range.  The nephrologist will make suggestions about diet and medications.  You should make sure that the doctor is looking at your total blood count, i.e., the amount of blood cells in your body.  If your kidneys are stressed or, forbid, failing, then a key hormone in the making of new blood cells may be decreased and you may not be making enough blood.  May it all be just an acute occurrence brought on by dehydration or something like that.  Good luck.


The Mayo clinic ( is an excellent resource for pretty much any illness or tests. The explanations are very helpful here is what they say about creatinin:

A creatinine test reveals important information about your kidneys.

Creatinine is a chemical waste product that's produced when you use your muscles or eat meat. Healthy kidneys filter creatinine and other waste products from your blood. The filtered waste products leave your body in your urine. If your kidneys aren't functioning properly, an increased level of creatinine may accumulate in your blood. A serum creatinine test measures the level of creatinine in your blood. Creatinine can also be measured in your urine.

Because diabetes can damage the kidneys, regular creatinine tests are often recommended for people who have type 1 or type 2 diabetes. If you have kidney disease, creatinine tests can help your doctor monitor your condition. Creatinine tests can also impact your treatment plan, since several medications may not be safe to take if your kidneys aren't working well.

I hope that is helpful.