2014年8月23日星期六

Creatinine Levels for Dialysis

What is the creatinine level for dialysis? Different countries have different serum creatinine levels. Different kidney diseases have different creatinine levels as well. In this passage, we will explain it for you.
Firstly, as for creatinine, we will introduce two units:mg/ dL and umol/L to express the amount of serum creatinine. In other words, we can use different ways or units to express the level of creatinine. The rate between them is 88.4. For example, if a person’s creatinine is 1.0 mg/ dL, we can also say that the level is 88.4 umol/L. The normal range of serum creatinine is 45 to 104 umol/L.
Secondly, in most of the countries in the world, kidney disease patients are suggested to take dialysis when the serum creatinine is as high as 450 umol/L for creatinine is a metabolism products which is toxic and long time retention in the blood will do harm to the body. In China, kidney disease mostly don’t take dialysis until it is as high as 707 umol/L, in which, people have become into uremia stage. However, in China, there are also some kidney disease patients begin to take dialysis when serum creatinine is more than 300 umol/L.

Thirdly, Diabetic Nephropathy is an exception. When their serum creatinine is more than 300 umol/L, they are suggested to take dialysis. Diabetic Nephropathy can be generally divided into 5 stages. High blood sugar can make the whole blood in high glucose condition. The same goes in kidney. The renal glomerulus will be in high perfusion, high filtration state, which will damage the renal glomerular membrane. In addition, the high level of sugar in original urine in renal tubules can stimulate the renal tubular epithelial cells and lead to the sclerosis of epithelial cells.

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