Medindia » Consumer Health » Health Information » Chronic Renal Failure - Progression

Chronic Renal Failure

How can I slow the progression of Chronic Kidney Disease

RSS Feeds   Text 
There are many ways to help delay or prevent kidney failure, especially when CKD is diagnosed in the mild to moderate stages. These include:

Blood pressure control

Keep your blood pressure at 125/75 or lower if you have diabetes and/or protein in your urine.

Keep your blood pressure at 130/85 or lower if you have kidney problems but not diabetes.

Two types of blood pressure medication slow the action of angiotensin, a substance that may contribute to kidney disease progression. Studies have shown that angiotensin converting enzyme (ACE) inhibitors and angiotensin receptor blockers (ARBs) can help slow progression of kidney disease in people with diabetes, even if they do not have high blood pressure. The generic names of some common ACE inhibitors are captopril, enalapril, and lisinopril. Some common ARBs are losartan, candesartan, and valsartan.

Blood glucose control

If you have diabetes, strict controls of your blood glucose levels can help slow the progression of kidney disease. Keep your hemoglobin A1c, which measures blood glucose control over the last two to three months, to less than 6.5%. To reach this level of strict glycemic control, you will need to monitor your blood glucose closely to avoid hypoglycemia. You may need to use frequent insulin injections or an insulin pump. Talk to your doctor about your diabetes treatment options.

Repairing the damage

In some cases, the kidney disease itself can be treated. If you have an obstruction that blocks your urine flow, surgery may help. If you have an infection, antibiotics may clear it up.

If damage is due to the effects of prescription or non-prescription medications, your doctor may be able to suggest a different medication that is less harmful to your kidneys. If you have CKD and are prescribed antibiotics talk to your doctor about the effect it may have on your kidneys. Painkillers (even over-the-counter medicines) can cause damage your kidneys. Talk to your doctor about all medication you take. Sometimes diagnostic studies are ordered with contrast dye. It may be necessary for you to have the study, but first find out if there are alternative methods.

Some diseases, such as IgA nephropathy, glomerulonephritis, and lupus can cause kidney damage when your immune system overreacts and inflammation occurs. It is sometimes possible to slow the disease process by controlling the immune system with steroids and/or other medications.

Smoking is a risk factor for faster progression of kidney disease, so stopping smoking can also help slow progression. Avoiding too much protein and phosphorus in the diet may help, as well.

Check with your doctor to find out whether any of these things might help to slow the progress of your kidney disease.


Share it!
Comment & Contribute
Comments should be on the topic and should not be abusive. Comments are normally moderated and are reviewed after they are posted.
* Your comment can be maximum of 2500 characters

Notify me when reply is posted
I agree to the terms and conditions
  
If you have a question about health related issues, you can now post it in our Ask An Expert section on our community website Medwonders.com and get answers from our panel of experts.
Posted by:  Nannie40(Guest)  Posted on: 05/12/2012
I am overweight and miserable. I am not currently on dialysis and would like to lose weight. If I eat the current high-protein diet I have been put on, I will never lose weight! HELP.



Posted by:  tkhamann  Posted on: 09/26/2011
I live in Lakeland, Florida my father has kidney failure he has been on dialyis for two years now which now he is at the ESRD...End stage of renal disease..that is the white lining developes around the kidney and draws up to nothing,no longer functioning.It is a proving fact that the FDA states the three kinds of medication to produce red blood cells is very dangerous and has caused alot of deaths NOTE:IF YOU HAVE HYPERTENION, DO NOT TAKE MEDICATION...Now what do you do for red blood cells???Kidney patients are not surpose to get blood trans..my father has to get blood trans quite often and now he has congested heart failture,which is from the medication to produce red blood cells or blood trans or BOTH...Is this a catch 22 situation??? My Question is..I know there are other things to produce red blood cells.I need to know what they are..I have heard that some steriods produce red cells..Your red cell count is surpose to read 13 to 14 count i believe..last month my fathers got down to 6.9!!!and more fluid developes around the heart...This is terrible..I pray every day for those you have kidney failture I watch what my father goes through..I hope i didnt effect anyone in a bad way with what i had to say in this comment box..Thank You and GOD BLESS...Tammy Hamann............


Posted by:  skdh-03  Posted on: 10/03/2011
Stem cell can produce red blood cells




Posted by:  sukhwinder(Guest)  Posted on: 02/07/2011
If you had all the symptoms of acute renal failure listed on Web MD, but none of them were all that bad, and you felt pretty much normal would you go to the Emergency room, wait and make a doctors appointment, or just chalk it up to being overly sensitive and a hypochondriac? acute renal failure symptoms



Posted by:  premraj  Posted on: 07/14/2009
what are the symtoms of kidney failure and can a patient eat the fish to improve the blood or meat or chicken which is mostly advised.Prem


Posted by:  skdh-03  Posted on: 10/03/2011
fish,chicken[except skin and liver and other organs],lean meat,milk,egg white are all okay, but the amount should be limited depending on your kidney function.




Posted by:  sruthi  Posted on: 11/19/2008
the article was good




X
Related Links
Anatomy Of Urinary - Animation
Renal Stones 
Know Your Urinary System
Citing this Health Article
The information on Medindia is factual, unbiased and authentic. If you find the content useful - PLEASE INCLUDE A LINK TO THIS PAGE.

Highlight the text, right-click, and select “copy”. Paste the link into your website, email, or any other HTML document.

News on Chronic Renal Failure
* Infections May Be Lethal For Kidney Failure Patients
* Guidelines for Management of Lupus Nephritis
* Chronic Kidney Disease may Not Necessarily Lead to Kidney Failure
* Chronic Kidney Disease Witnessing a Spiralling Trend
* Weight-loss Surgery Safe For Obese People With Chronic Kidney Disease
Total News Item 113
Are you a member of Facebook? Become a fan of Medindia and get breaking news delivered to your Facebook page.