Reducing Your Risk of End-Stage Renal Disease (ESRD)
En Español (Spanish Version)

To help reduce your risk of ESRD, follow these guidelines:

Lower High Blood Pressure
Maintaining a normal blood pressure may prevent kidney failure. Have your blood pressure checked regularly. If you have high blood pressure , take your blood pressure medications as ordered by your doctor and follow up regularly.

Keep Blood Sugars Under Control
Maintaining blood sugar levels as close to normal as possible helps to prevent kidney disease. Have your blood sugar checked regularly if you are at risk for diabetes . If you have diabetes, follow the medication, diet, and exercise plan recommended by your doctor.

Lower High Cholesterol and Triglycerides
Lowering both cholesterol and triglyceride levels to the normal range can slow the progression of renal failure. The statin drugs are commonly used for this purpose.

Aggressive Treatment of Proteinuria
Proteinuria is leakage of protein in the urine. Aggressive treatment of proteinuria with drugs, such as angiotensin-converting enzyme (ACE) inhibitors and angiotensin receptor blockers, has been effective in slowing the deterioration of renal function in chronic renal failure patients.

Do Not Abuse Medications or Illegal Drugs
Overuse of over-the-counter pain medication and illegal drugs can damage the kidneys. Take medications only as directed.




References:
Chronic kidney disease. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated April 22, 2013. Accessed July 2, 2013.

End-stage renal disease. National Institute of Diabetes & Digestive & Kidney Diseases website. Available at: http://www2.niddk.nih.gov/Research/ScientificAreas/Kidney/KEB.htm. Updated September 15, 2010. Accessed July 2, 2013.

Yu HT. Progression of chronic renal failure. Arch Int Med. 2003;163:1417-1429

Last Reviewed May 2014



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