You probably have chronic kidney disease (ckd). Etiology you have not mentioned. You need to understand that- ckd is a progressive disorder and with medications you can achieve retardation of the progression of the disease. In short, despite medicines, the creatinine values are going to progress over the years. Focus should be on factors which will help in reducing this progression. They are-
1. Strict control of blood pressure. Target bp should be 130/80mmhg.
2. Control of blood sugar
- hba1c less than 6.5% (if you are a diabetic
3. Low protein diet
(0.4-0.6g/kg/d) with alpha keto
analogues. Avoid red meat
4. Avoidance of pain
killers tablets/injections, over the counter medicines, ayurvedic/herbal/naturopathy medications as these are known to worsen kidney failure.
5. If you are passing protein in urine and you have primary glomerulonephritis, achieving proteinuria control below 1g/day should be the target. The lower the better. This is usually achieved with medicines called ace inhibitors or arbs.
is estimated to decline by around 5 ml/min/1.73m2 every year despite achieving above mentioned targets. As long as your egfr is not deteriorating at a faster pace than expected, you are in the right direction.