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GFR Calculator

The GFR calculator helps in measuring kidney function. Learn more on why is this important.

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Home / Health Insurance / Calculators / Articles / GFR Calculator

GFR Calculator
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GFR stands for Glomerular Filtration Rate. It is a measure used to determine how well your kidneys are functioning. GFR is calculated based on a blood test that measures the creatinine level in your blood. The test considers your age, gender, race, and weight. A GFR of 60 or higher is considered normal, while below 60 may indicate kidney disease. Regular monitoring is important to detect any potential kidney problems early on. 

This rate can be measured with a tool called GFR Calculator. This article will give you an overview of the GFR Calculator to Calculate a GFR Value and its significance, along with some frequently asked questions.

What is a GFR Calculator?
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A GFR calculator is a tool used to estimate the Glomerular Filtration Rate (GFR), which measures how effectively your kidneys filter waste and excess fluids from your blood. It calculates GFR using inputs like age, gender, race, and blood creatinine levels. This information is important  for diagnosing and monitoring kidney health.

GFR calculators are widely used in medical settings to assess kidney function, determine the stage of chronic kidney disease (CKD), and guide treatment plans. Early detection of changes in GFR allows for timely intervention, improving patient outcomes.

Importance of GFR Calculator in Measuring Kidney Function
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Here are some points highlighting the importance of the GFR calculator in calculating your Glomerular Filtration Rate:

  • The GFR calculator is an essential tool medical professionals use to measure kidney function. 

  • It is a critical diagnostic tool that allows doctors to evaluate the stage of kidney disease and determine appropriate treatments. 

  • The GFR calculation is based on a person's age, gender, race, and creatinine level. 

  • The importance of the GFR calculator lies in its ability to enable doctors to determine the correct stage of chronic kidney disease and decide on the appropriate course of action to halt its progression. 

  • Physicians can ensure that patients receive appropriate treatment by measuring the rate at which the kidneys filter waste products from the blood.

How Does a GFR Test Work?
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The test involves drawing blood and measuring levels of a waste product called creatinine. This value is then plugged into an equation considering factors like age, sex, and race to estimate GFR. 

If you're wondering about the accuracy of GFR tests, they aren't always perfect. Some people may have a different GFR than the test indicates, so doctors may use additional tests or methods to confirm a diagnosis. However, GFR tests are valuable for monitoring kidney health and detecting issues early. It's important to talk to your doctor if you have concerns about your kidney function and to attend regular check-ups if you're at risk for kidney disease.

What Do GFR Results Mean?
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GFR results can indicate how well your kidneys are working. If your GFR is high, your kidneys filter blood well. If it's low, your kidneys may not be functioning properly.

GFR results can be interpreted in the following ways:

  • 90 or above is considered normal

  • between 60 and 89 may indicate early kidney damage

  • between 30 and 59 may indicate moderate kidney damage

  • between 15 and 29 may indicate severe kidney damage

  • less than 15 may indicate kidney failure

How Do Doctors Compute GFR?
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Doctors use a formula that considers a person's age, gender, race, and serum creatinine levels to estimate the glomerular filtration rate (GFR). This formula is called the Modification of Diet in Renal Disease (MDRD) equation. 

To calculate GFR, healthcare providers order a blood test to measure a waste product called creatinine. The MDRD equation then uses this measurement and demographic information to estimate the amount of blood filtered by the kidneys each minute. This information is essential in diagnosing and managing kidney disease. 

The estimated GFR (eGFR) is an important indicator of kidney function, as it helps doctors determine the stage of chronic kidney disease (CKD) a patient is in. If kidney disease is diagnosed, doctors may use medications and lifestyle changes to slow its progression. In severe cases, dialysis or kidney transplantation may be necessary. Regular monitoring of GFR is important in ensuring optimal kidney health.

Common Reasons for a GFR Test 
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If you need a GFR test, it could be for one of the following reasons:

  • Checking kidney function: A GFR test can measure how well your kidneys filter your blood.

  • Diagnosing kidney disease: If your GFR levels are low, it could indicate kidney disease or damage.

  • Monitoring kidney disease progression and treatment: A series of GFR tests can help track how your kidney disease progresses and how well treatments work.

  • Adjusting medication dosages based on kidney function: Some medications are processed by the kidneys, so a GFR test can help determine the appropriate dosage.

  • Screening for kidney disease in high-risk patients: GFR tests can also screen for kidney disease in individuals at a higher risk, such as those with a family history of kidney disease, hypertension, or diabetes.

The 5 Stages of Kidney Disease
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Kidney disease progresses through five stages, each reflecting the degree of kidney damage and function. Understanding these stages, particularly the glomerular filtration rate (GFR), is important  for managing kidney health and slowing the disease's progression.

Stage 1: Healthy kidneys or kidney damage with normal or high GFR

GFR Level: 90 mL/min or more
In Stage 1, the kidneys may still function normally or at a high level, but damage may already be present. Often, there are no noticeable symptoms at this stage.
 

Possible indicators of kidney damage:

  • High blood pressure

  • Higher-than-normal levels of creatinine or urea in the blood

  • Blood or protein in the urine

  • Evidence of kidney damage detected through imaging tests (like MRI, CT scans, or ultrasounds)

  • A family history of polycystic kidney disease (PKD)

Next Step: Adopt a kidney-friendly lifestyle, which includes controlling blood pressure, monitoring blood sugar levels, and maintaining a healthy diet to prevent further damage.

Stage 2: Kidney damage with mild decrease in GFR

GFR Level: 60 to 89 mL/min
In Stage 2, the GFR is mildly decreased, indicating a slight loss of kidney function. Although kidney damage is present, the kidneys can still filter waste effectively, and symptoms may not be noticeable.

Possible indicators of kidney damage:

  • Elevated blood pressure

  • High levels of creatinine or urea in the blood

  • Blood or protein in the urine

  • Imaging tests may show evidence of kidney damage

Next Step: Continue monitoring kidney health and work with your healthcare provider to control blood pressure, manage diabetes (if applicable), and adopt a kidney-healthy diet.

Stage 3: Moderate decrease in kidney function

GFR Level: 30 to 59 mL/min
Stage 3 is divided into two sub-stages: 3A (GFR 45–59) and 3B (GFR 30–44). At this stage, kidney function is moderately decreased, and waste products build up in the blood. Symptoms may start to appear, such as:

  • Fatigue

  • Fluid retention (swelling)

  • Changes in urination patterns

  • Sleep problems

  • Pain or discomfort in the back or kidneys

Next Step: Visit a nephrologist (kidney doctor) for guidance on managing kidney disease. Consider dietary changes, medications, and possibly a kidney education class to learn more about managing your condition.

Stage 4: Severe decrease in kidney function

GFR Level: 15 to 29 mL/min
In Stage 4, the kidneys are severely damaged, and they no longer function well enough to meet the body’s needs. This stage often involves complications like anaemia, bone disease, and high blood pressure. Symptoms can become more noticeable and can include:

  • Fatigue and weakness

  • Nausea and vomiting

  • Back pain or discomfort

  • Changes in appetite and taste

  • Nerve problems and difficulty sleeping

Next Step: Begin discussing treatment options with a nephrologist. Treatment may include planning for dialysis or a kidney transplant, alongside managing complications like high blood pressure and anaemia.

Stage 5: Kidney failure (end-stage renal disease)

GFR Level: Less than 15 mL/min or on dialysis
Stage 5 is also known as end-stage renal disease (ESRD), where the kidneys have lost nearly all their functions. Without treatment, kidney failure can be life-threatening. At this point, the kidneys can no longer filter blood effectively, leading to a buildup of waste and toxins in the body. Symptoms include:

  • Loss of appetite

  • Severe fatigue and weakness

  • Swelling and fluid retention

  • Itching

  • Little to no urine production

Next Step: Begin dialysis treatment or discuss a kidney transplant with your healthcare team. Following a strict medical regimen to manage symptoms and improve quality of life is essential.

Can Kidney Damage be Reversed?
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In some cases, kidney damage can be reversed if caught early and treated promptly. However, in many cases, kidney damage cannot be fully reversed. Working with your doctor to manage your condition and prevent further damage is important. Some ways to slow down kidney damage include:

  • Following a healthy diet

  • Monitoring and controlling blood sugar levels

  • Maintaining a healthy blood pressure

  • Quitting smoking

  • Managing conditions like diabetes, high blood pressure, or autoimmune diseases that can cause kidney damage

Conclusion
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Your kidneys play a critical role in maintaining overall health, and understanding your GFR can help you protect them. Whether you're managing a condition or monitoring your health, using a GFR calculator empowers you with valuable information about your kidney function. Remember to consult with a healthcare provider for accurate diagnosis and treatment based on your GFR results. Taking proactive steps, like regular check-ups and a healthy lifestyle, is essential for safeguarding kidney health.

Frequently Asked Questions
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Listed below are some queries related to GFR and their answers.

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How do I calculate my GFR?

You will have to give your blood sample. The doctor will then use a mathematical formula to determine how effectively your kidneys filter waste. It’s impossible to determine your GFR independently, as it requires specific data from the blood test.

What is a normal GFR for my age?

GFR naturally declines with age. Here are approximate normal ranges:

20-29 years: 116 mL/min/1.73 m²

30-39 years: 107 mL/min/1.73 m²

40-49 years: 99 mL/min/1.73 m²

50-59 years: 93 mL/min/1.73 m²

60-69 years: 85 mL/min/1.73 m²

70+ years: 75 mL/min/1.73 m² or lower

Are GFR and eGFR the same?

No, GFR and eGFR are not the same.

  • GFR is the actual measure of kidney filtration capacity.
  • eGFR is an estimated GFR based on creatinine levels, age, sex, and other factors.

eGFR is commonly used because it’s a convenient, non-invasive approximation.

Can medications affect GFR?

Yes, certain medications can affect GFR. Your doctor may need to adjust your medication dosage based on your GFR levels. Some medications that can affect GFR include nonsteroidal anti-inflammatory drugs (NSAIDs), ACE inhibitors, and some antibiotics.

How often should I get my GFR checked?

The frequency of GFR checks depends on your health and risk factors:

  • Healthy individuals: An annual check is typically sufficient, especially if you have no risk factors for kidney disease.
  • People with risk factors (e.g., diabetes, high blood pressure, family history of kidney disease): Every 6 to 12 months, depending on your doctor’s advice.
  • People with kidney disease: Usually every 3 to 6 months, or more frequently if the condition is progressing or if medication adjustments are needed.

Your doctor can provide the best guidance based on your specific health needs.

Will drinking water increase my GFR?

Drinking water can increase your GFR temporarily, but it will not significantly impact your kidney function in the long term.

What should I do with a low GFR, and what foods can help?

If you have a low GFR, working closely with your doctor to find the cause and develop a treatment plan is essential. This may include dietary and lifestyle changes, medication management, or other targeted interventions based on your needs.

Foods that support kidney function: While no specific foods directly increase GFR, a kidney-friendly diet can help support your kidney health:

  • Leafy greens (like spinach and kale): High in vitamins and antioxidants
  • Berries (such as blueberries and strawberries): Provide antioxidants and are low in potassium
  • Apples and grapes: Good sources of fibre and vitamins while being kidney-friendly
  • Red bell peppers: Low in potassium and rich in vitamins
  • Garlic and onions: Low-sodium options that add flavour without added salt

Consult a dietitian to customise your diet to your specific health needs.

Can dehydration cause low GFR?

Yes, dehydration can cause a temporary decrease in GFR. When your body is dehydrated, there is less blood flow to your kidneys, which can lead to a lower GFR.

Can I improve my GFR?

Here is a rundown of what you can do to improve your GFR:

  • Managing your blood sugar levels if you have diabetes
  • Managing your blood pressure levels
  • Quitting smoking
  • Maintaining a healthy weight
  • Eating a balanced, healthy diet
  • Staying hydrated
  • Exercising regularly
  • Taking any medications as prescribed by your doctor

Consult with your doctor to create a personalised plan to improve your GFR.

Disclaimer: The content on this page is generic and shared only for informational and explanatory purposes. It is based on industry experience and several secondary sources on the internet and is subject to changes.

Written by

Roocha Kanade

Content Architect

Reviewed by

Dr Nitin Kumar Gupta

SVP – Health Underwriting & Claims at Acko General Insurance