Your kidney function is normal and does not indicate chronic kidney disease
With an eGFR of 75.2 mL/min/1.73 m² and a UACR of 10 mg/g, both values are within normal ranges, and you do not meet criteria for chronic kidney disease. 1
Understanding Your Results
eGFR Assessment
Your eGFR of 75.2 mL/min/1.73 m² is well above the threshold for kidney disease:
- Normal GFR in young adults ranges from 120-130 mL/min/1.73 m² 2
- CKD is defined by eGFR persistently <60 mL/min/1.73 m² for at least 3 months 1, 3, 4
- Your value of 75.2 indicates you retain approximately 60% of young adult kidney function, which is normal for many adults, particularly with aging 2
Recent evidence confirms that mortality risk is not elevated at eGFR values between 75-105 mL/min/1.73 m² 5, 6. The risk only begins to increase below 60 mL/min/1.73 m², with hazard ratios of 1.18 at eGFR 60, rising to 1.57 at eGFR 45 5.
Albumin Assessment
Your UACR of 10 mg/g is completely normal:
- Normal UACR is defined as <30 mg/g 1, 3, 7
- Your value of 10 mg/g is at the expected baseline for healthy adults (approximately 10 mg/g) 4
- Albuminuria requiring attention begins at ≥30 mg/g 1
CKD Diagnostic Criteria
CKD requires both persistence (≥3 months) and meeting at least one of these criteria 3, 4:
- eGFR <60 mL/min/1.73 m²
- Albuminuria (UACR ≥30 mg/g)
- Other evidence of kidney damage (imaging abnormalities, biopsy findings)
You meet none of these criteria.
Important Caveats
Single Measurement Limitation
These values represent a single point in time. CKD diagnosis requires persistent abnormalities for ≥3 months 1, 3, 4. For albuminuria specifically, 2 out of 3 specimens collected over 3-6 months should be abnormal before confirming the diagnosis 1.
Factors That Can Temporarily Elevate UACR
Even though your UACR is normal, be aware that these factors can falsely elevate measurements 1:
- Exercise within 24 hours
- Fever or acute infection
- Marked hyperglycemia
- Menstruation
- Congestive heart failure
- Marked hypertension
Age-Related Decline
GFR naturally declines with age at variable rates 2. While age-related decline was historically considered "normal aging," even in elderly patients, decreased eGFR independently predicts adverse outcomes and requires medication dose adjustments 2. However, your eGFR of 75.2 does not represent clinically significant kidney dysfunction.
Clinical Implications
No CKD-specific interventions are needed based on these values. The 2022 ADA/KDIGO Diabetes guidelines explicitly state that ACE inhibitors or ARBs are not recommended for primary prevention in patients with normal blood pressure, normal UACR (<30 mg/g), and normal eGFR 1.
If you have diabetes, continue annual screening with both eGFR and UACR 1, 3, 7. For type 2 diabetes, screening should occur at diagnosis; for type 1 diabetes, screening begins 5 years after diagnosis 3.