I just sent this message to my former primary. I'd be interested in reading your thoughts. I do understand that my numbers are great compared to many with serious kidney disease, but as I wrote in the message, I'm not loving the trend. I'm a guy pushing 63 years old, if that matters. I am leaking protein into my urine, FWIW. My Albumin, Unrine Detection is at 367, which is high, but stable for me. Urine Creatinine is 94.6, which they show as normal.

Hi Dr. X,

I realize that you have dropped me as a patient (too many patients), but it didn't give me the option to message anyone else. Normally I'd address this to Dr. K in Nephrology, but I didn't have the option.

As you may know, I'm T2 diabetic with some lower-level kidney damage. I'm concerned about my EGFR results. I do realize that a value of 81 is considered normal, but my concern lies in the pace of decline. 10/22 at 100, 10/23 99, 05/24 93, and now only 6 months later, I'm at 81, a drop of 13 points.

Correct me if I'm wrong, but my understanding is that when kidney damage is present, the kidneys work harder to filter, which explains the high numbers (100, 99, 93) and then when they can't keep up, the numbers start to drop.

Seems like a large decline in a short time. Not loving the trend, & looking beyond the here & now. Anything I can do to improve this?

Feel free to forward to Dr. K and anyone else you think should be involved.