Creatinine is the most reliable parameter to assess the functioning of your kidneys. Creatinine is released after the breakdown of creatinine phosphate present in the muscles. It is therefore a chemical waste substance released due to muscular metabolism. Normal creatinine levels tend to vary with age.
Creatine, the precursor for creatinine is synthesized in the liver. About 2% of creatine is converted into creatinine daily. In a normal, healthy individual, creatinine is excreted from the kidneys. Extra-renal excretion of creatinine occurs only when there is severe impairment of renal function.
Serum creatinine is an index to monitor renal function while being exposed to nephrotoxic drugs, for acute kidney injury or chronic renal failure or in conditions of shock or dehydration where the renal function seems to be impaired.
Serum creatinine is often measured along with a test for blood urea levels. Creatinine can be measured from serum, plasma or urine. Another blood test called Creatinine Clearance is used to estimate the glomerular filtration rate.
Levels of serum creatinine have an inverse relation with Glomerular Filtration Rate (GFR). Yet, values of creatinine can be influenced by temperature, certain substances and drugs. This means that creatinine, although the most reliable marker of kidney function is often not the most accurate test.
Certain Substances may Interfere with Measurement of Creatinine Levels
Some Drugs which Interfere with Measurement of Creatinine Levels are:
Creatinine levels are the lowest during the neonatal period. Serum creatinine levels are higher in men than in women.
Creatinine is a waste product excreted through urine in normal healthy individuals. Therefore its levels can be measured by both blood and urine.
Age group | Normal range in Males (mg/dL) | Normal range in Females (mg/dL) |
---|---|---|
1 – 3 months | 0.2 – 0.75 | 0.3 – 0.6 |
3 – 6 months | 0.3 – 0.7 | 0.3 – 0.6 |
6 – 12 months | 0.2 – 0.7 | 0.2 – 0.75 |
1 – 3 years | 0.2 – 0.8 | 0.2 – 0.8 |
4 – 10 years | 0.3 – 0.8 | 0.35 – 0.75 |
11 – 15 years | 0.5 – 1.0 | 0.5 – 0.95 |
16 – 20 years | 0.6 – 1.2 | 0.6 – 1.0 |
21 – 30 years | 0.2 – 1.2 | 0.3 – 1.2 |
31 – 40 years | 0.6 – 1.6 | 0.3 – 1.0 |
41 – 50 years | 0.7 – 1.4 | 0.4 – 0.9 |
51 – 60 years | 0.7 – 1.3 | 0.6 – 1.3 |
No special preparation is required for measuring serum creatinine levels. Blood is drawn and sent for analysis at your clinician’s office.
Age group | Normal range (mg/dL) |
---|---|
1 – 6 months | 2 – 32 |
7 – 11 months | 2 – 36 |
1 – 2 years | 2 – 128 |
3 – 8 years | 2 – 149 |
9 – 12 years | 1 – 183 |
>12 years Male | 20 – 370 |
>12 years Female | 20 – 320 |
To test creatinine levels in urine, urine needs to be collected over a period of 24 hours and the container has to be given at the laboratory for analysis.
There are no risks involved in testing for creatinine levels in blood or urine. Both blood and urine creatinine levels in elderly people tend to be high as a part of the normal aging process and also due to certain co-morbidities which may develop with an advancing age.
Creatinine levels can be low in the following conditions:
Creatinine Levels are High in the Following Conditions:
Nausea, vomiting, fatigue, chest pain, muscular cramps, poor urine output, swelling of hands and legs and high blood pressure.
Both high and low creatinine levels can be alarming because any kind of change indicates a serious impairment of health status. Slight harmless variations can occur due to factors mentioned above.
Getting creatinine levels to the normal range requires the use of medications as well a healthy diet and lifestyle modifications. Treating the underlying cause is of prime importance. Certain home remedies can also help in lowering or regularizing creatinine levels.
Medically Reviewed By
Dr. Himanshi is a Homoeopathic consultant and currently working as a lecturer in Post-graduate faculty of Homeopathy, Parul University, Vadodara. Completed BHMS and MD in Homeopathy in January 2018 and also has a clinical experience of about 6 years. Personal interests include reading, spending time with family and traveling.
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