Prevent Kidney Disease

Kidney disease can be prevented or stop progression by managing blood glucose level and blood pressure at near normal and follow moderate protein diet.

Prevent or stop progression of kidney disease

Kidney disease can be prevented or at least slow down by maintaining
  • Blood pressure at normal by medication
  • have moderate protein diet
  • Intensive blood glucose management

Pressure Medicines to prevent or slow down kidney disease

Drugs used to lower blood pressure can slow the progression of kidney disease. Two types of drugs, ACE inhibitors and ARBs (angiotensin receptor blockers), are proven effective in slowing down kidney disease. In addition to an ACE inhibitor or an ARB, other blood pressure medication is also needed for effective blood pressure control.

ACE inhibitors, doctors commonly prescribe for treating kidney disease of diabetes. The benefits extend beyond its ability to lower blood pressure: it may directly protect the kidneys’ glomeruli. ACE inhibitors have lowered proteinuria and slowed deterioration even in people with diabetes who did not have high blood pressure.

ARB has also been shown to protect kidney function and lower the risk of cardiovascular events.

Moderate protein diets good for kidney

It is harmful to consume excessive protein, if diabetics. For people with largely reduced kidney function, a diet containing reduced amounts of protein may be helpful in delaying the onset of kidney failure.

Intensive blood glucose management for kidney health

Intensive management of blood glucose is a treatment regimen that aims to keep blood glucose levels close to normal. This treatment regimen starts with frequent blood glucose measurement and treating accordingly. Also by following diabetes care by healthy food triangle and increasing physical activity. Some people use an insulin pump to supply insulin throughout the day.

A number of studies shown that, in people with improved blood glucose control, the risk of early kidney disease was reduced remarkably.

Important Kidney care tips

People with diabetes should
  • Measure A1C level at least twice a year, test provides an average of blood glucose level for the previous 3 months. Maintain A1C below 7 % for better effect.
  • Check blood pressure several times a year, aim to keep blood pressure at or less than 130/80 by taking an ACE inhibitor, ARB or other medications.
  • Measure eGFR at least once a year to know how well kidneys are working.
  • Measure protein in the urine at least once a year to check for kidney disease.
  • Consult registered dietitian, whether to reduce the amount of protein in diet and to help with meal planning.

Next: Kidney diseases treatment


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