Chronic Kidney Disease (CKD)

Chronic kidney disease is very common and has 5 stages.  1 in 3 adults in the United States are at risk for developing chronic kidney disease.  Chronic kidney disease means that your kidneys are not filtering things such as waste products and excess salt and water as well as they should.  Some factors that contribute to the development of kidney disease are:

  • Obesity
  • Diabetes
  • Hypertension
  • Family history of kidney disease, hypertension and/or diabetes
  • Ethnicity
  • Being over the age of 60
  • Use of specific medications  (i.e. Ibuprofen, Aleve, Pantoprazole, Omeprazole)

Once you have been diagnosed with chronic kidney disease with a glomerular filtration rate (GFR) of less than 60 ml/min (considered to be stage 3), we will continue to monitor this level at least once every 6 months to determine if additional interventions are needed.  These interventions could be helping you to control risk factors such as smoking, uncontrolled blood pressure, diabetes or helping you to lose weight.  Additionally, it is recommended if you have been newly diagnosed with CKD that we get a renal ultrasound as a baseline to look at your kidneys.

If your GFR gets below 45 ml/min, we will likely refer you to a nephrologist to continue to monitor your kidney disease.  Many people with renal disease, if they take preventative measures to help their kidney function, such as quitting smoking, losing weight, and staying hydrated (unless you have heart failure and are on fluid restrictions), do not progress to kidney disease, which requires dialysis.