The Kidneys and How They Work-Points to Remember

  • The kidneys are two vital organs that keep the blood clean and chemically balanced.
  • Kidney disease can be detected through a spot check for protein or albumin in the urine and a calculation of glomerular filtration rate (GFR) based on a blood test.
  • The progression of kidney disease can be slowed, but it cannot always be reversed.
  • End-stage renal disease (ESRD) is the total or nearly total and permanent loss of kidney function.
  • Dialysis and transplantation can extend the lives of people with kidney failure.
  • Diabetes and high blood pressure are the two leading causes of kidney failure.
  • People with reduced kidney function should see their doctor regularly. Doctors who specialize in kidney disease are called nephrologists.
  • Chronic kidney disease (CKD) increases the risk of heart attacks and strokes.
  • People in the early stages of CKD may be able to save their remaining kidney function for many years by
    • controlling their blood glucose
    • controlling their blood pressure
    • following a low-protein diet
    • maintaining healthy levels of cholesterol in the blood
    • taking an angiotensin-converting enzyme (ACE) inhibitor or an angiotensin receptor blocker (ARB)
    • not smoking

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