What is creatinine?

What is creatinine?

Written by

Lauren Dobischok
30 June, 2022

Medically checked article All HOMED-IQ content is reviewed by medical specialists

Creatinine is a waste product from the breakdown of muscle tissue. It is filtered out of the blood by the kidneys and excreted in the urine. Measuring the creatinine level in the blood and urine helps to assess kidney function. Normal values in blood are 59.2-103.4 µmol/L (0.67-1.17 mg/dL) for men and 45.1-84.0 µmol/L (0.51-0.95 mg/dL) for women, while in urine they are 1768-28,000 µmol/L (20-320 mg/dL) for men and 1768-24,300 µmol/L (20-275 mg/dL) for women.


Table of Contents


What is creatinine?

Creatinine is a waste product made by the muscles. As it is produced, creatinine enters your bloodstream and is filtered and broken down in the kidneys. A small amount of creatinine is excreted in the urine. This creates a balanced level in the blood, which is determined by the speed of creatinine production in the muscles and breakdown/excretion by the kidneys (De Prostaatkliniek).

What does creatinine value indicate?

Your creatinine value provides insight into the functioning of the kidneys. There is a constant concentration of creatinine in the blood. Therefore, the creatinine value is an excellent indicator to determine whether the kidneys are functioning properly. One’s blood creatinine value determines the amount of waste products in the blood. With this value it is possible to estimate the amount of blood that the kidneys filter per minute (eGFR) (Health and Science, 2018).

What is a normal creatinine value?

The values provided below are specified by Homed-IQ’s partner laboratory. There may be slight variations in the normal values used by different testing methods and laboratories.

ParameterMenWomen
Blood Creatinine59,2 – 103,4 µmol/L
(0,67-1,17 mg/dL)
45,1 – 84 µmol/L
(0,51–0,95 mg/dL)
Urine Creatinine (Sample)1768–28000 µmol/L
(20–320 mg/dL)
1768–24300 µmol/L
(20–275 mg/dL)
Urine Creatinine – 24-Hour Collection8–22 mmol/24h
(0,9–2,5 g/24h)
6–18 mmol/24h
(0,7–2,0 g/24h)

A normal blood creatinine value differs from person to person, with men usually having a higher creatinine level than women. This is because men have more skeletal muscle. Likewise, a person with more muscle has a higher creatinine value than a person with less muscle.

What does low/high creatinine mean?

Creatinine LevelLowHigh
Possible CausesLow muscle mass or malnutrition
Muscle wasting
Severe liver disease
Pregnancy
Overhydration or diluted urine
Kidney dysfunction (chronic or acute)
Dehydration
High protein intake
Muscle breakdown
High muscle mass
Diabetes or hypertension
Certain medications

Sources: Dutch Journal of Medicine, 1990

Symptoms of low/high creatinine

Creatinine LevelSymptoms
LowMuscle weakness or fatigue 
Weight loss 
Dizziness or light-headedness 
Poor endurance 
In some cases, no noticeable symptoms
HighFatigue Swelling (especially in legs, ankles, or face) 
Shortness of breath 
Nausea or vomiting 
Confusion or difficulty concentrating 
Decreased urine output 
Dark-colored urine

Testing creatinine levels 

Creatinine can be measured in blood or urine. The appropriate method depends on the situation:

Blood Test

  • Standard method to assess kidney function
  • Often paired with eGFR calculation for better interpretation

Urine Test (24-hour collection)

  • Assesses creatinine clearance for more detailed renal function analysis

Testing creatinine levels provides a snapshot of your kidney function. With Homed-IQ’s Liver and Kidney Function Test, you can measure your creatine levels and other important values from home. This blood and urine test provides insight into the following values: ALT, AST, GammaGT, Bilirubin, Albumin, Creatinine, eGFR and Alkaline Phosphatase. In this way, you get as complete a picture as possible of both your kidneys and liver health. The advantage of testing creatinine with a home test is that you do not have to go to the doctor. The analysis of the creatinine value and other biomarkers takes place in a certified laboratory.

How do I lower my creatinine level?

  • Treat underlying health conditions, such as high blood pressure.
  • Reduce salt intake as much as possible to help manage blood pressure.
  • Take prescribed blood pressure medication if recommended by your doctor.
  • Limit protein intake, especially if you have high blood pressure.
  • Quit smoking, as it negatively impacts kidney health.
  • Lose weight if you are overweight.
  • Avoid NSAIDs (e.g. ibuprofen), as these painkillers can harm kidney function; especially if your creatinine levels are high.

    Sources: Kidney Foundation

Summary

Creatinine is a waste product from muscle metabolism that is filtered by the kidneys and excreted in the urine. Measuring creatinine levels in blood and urine helps assess kidney health. High levels may indicate kidney dysfunction, dehydration, or high muscle mass, while low levels can result from reduced muscle mass, malnutrition, or liver disease. Homed-IQ’s Liver and Kidney Function Test allows you to measure your creatinine and other biomarkers easily from home to gain insight into your kidney and liver health.

About the author

Lauren Dobischok

Lauren is a health scientist and science communicator currently living in the Netherlands. Originally from Canada, she completed a Research Master’s in Health Sciences at the Netherlands Institute of Health Sciences at Erasmus University Rotterdam (NIHES) with a specialisation in epidemiology. Prior to her master’s degree, she completed a Bachelor’s degree in Health Sciences at Simon Fraser University. With a background in public health, her goal is to create accurate scientific content that is easy to understand and empowers people to make informed decisions. Within Homed-IQ, Lauren works as a Product Developer and Content Lead, working closely with physicians and scientists on medical devices for Homed-IQ’s new products and written communications.