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| Protect your kidneys: Control hypertension, diabetes More than one in nine Americans have chronic kidney disease, and many more are at risk. The number of people with end-stage kidney disease doubled during the last decade, mainly because high blood pressure and diabetes are often inadequately treated. Most people with kidney disease are unaware of it because it's possible to function well at half of normal capacity. Over time, however, hypertension and diabetes accelerate the decline. Treatment requires dialysis or a kidney transplant. Complications include heart disease, weak bones, and anemia. Everyone should be screened for hypertension and diabetes. Guidelines by the National Kidney Foundation say people with these conditions, a family history of kidney disease, and elderly African-Americans, Hispanics, or Asians, require two more tests: * A urine test for albumin which is caused by impaired kidney function. * A blood test for creatinine to estimate how efficiently the kidneys are functioning. Everyone, especially those at risk, can protect their kidneys by losing excess weight, exercising, not smoking, avoiding excessive amounts of over-the-counter pain killers (which are processed by the kidneys), limiting alcohol intake, and eating less salt and protein. Kidney damage can't be reversed, but its progression can be delayed or stopped with these measures. |