Chronic Kidney Disease: A Silent Threat
Most patients have no symptoms until late stages.
Dr. Marc Aubry
Internist
Adults with diabetes, hypertension, cardiovascular disease, or family history. Simple blood (creatinine) and urine (albumin) tests suffice.
Slowing progression
- Strict blood pressure control
- RAAS inhibitors (ACE/ARB)
- SGLT2 inhibitors even in non-diabetics
- Smoking cessation
- Avoid nephrotoxic drugs (chronic NSAIDs)
Late-stage care
Dietary adjustments (potassium, phosphate), anaemia treatment and preparation for renal replacement therapy (dialysis or transplantation).
Cardiovascular focus
Most CKD patients die of cardiovascular events before reaching dialysis: cardiovascular prevention is as important as nephrology care.
Knowing your eGFR is as useful as knowing your blood pressure or cholesterol.
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