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March 3, 2026Canadian Medical Association Journal0 citationsOpen Access

A 74-year-old man with chronic kidney disease and an increase in serum creatinine from baseline

ABAnn BugejaECEdward G. Clark

Key Points

  • Serum creatinine levels reached 180 μmol/L, significantly higher than the normal range.
  • The urine albumin-to-creatinine ratio was recorded at 95 mg/mmol, indicating impaired kidney function.
  • Assessment involved a nephrology clinic follow-up for diabetic kidney disease management.
  • The case highlights the potential progression of kidney disease in older patients with diabetes.

Abstract

A 74-year-old man with chronic kidney disease (CKD) and type 2 diabetes presented to our nephrology clinic for follow-up of diabetic kidney disease with a serum creatinine of 180 (reference range 59 to 104) μmol/L and a urine albumin-to-creatinine ratio (ACR) of 95 (reference range < 3) mg/mmol.

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Cite This Study

Bugeja et al. (2026) studied this question.

synapsesocial.com/papers/69a765a4badf0bb9e87d9de2https://doi.org/10.1503/cmaj.250948
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