According to the internationally recognized guidelines designated by the National Kidney Foundation, chronic kidney disease is clinically divided into 5 stages according to glomerular filtration rate (GFR). In stage 1 (the earliest stage), you have mild kidney damage, the filtration rate is normal or declines, and your kidney's ability to remove waste and liquid from the body is still at an acceptable level. Stage 5 represents renal failure, during which you need to rely on dialysis or kidney transplantation to survive.
CKD Staging | Glomerular Filtration Rate | Renal Function Staging |
---|---|---|
Stage 1 | GFR is normal/elevated, ≧90 | Mild kidney damage |
Stage 2 | GFR=60 to 89 | Mild decline in renal function |
Stage 3 | GFR=30 to 59 | Moderate decline in renal function |
Stage 4 | GFR=15 to 29 | Severe decline in renal function |
Stage 5 | GFR below 15 | Renal failure (uremia) |
GFR is the rate at which the kidney removes waste from the blood.
To calculate GFR, we need to measure the amount of creatinine in your blood. Creatinine is the waste produced by muscle activity. If the blood creatinine level is higher than normal, it means that the renal function is declining.
Glomerulonephritis
Diabetes mellitus
Hypertension
For more than two thirds of CKD patients, their kidney disease are caused by glomerulonephritis, diabetes mellitus and hypertension. When kidney damage≧3 months, renal structural or functional abnormalities that affect health can be defined as chronic kidney disease.
Follow instructions and work with your healthcare team
Simply write down the questions you want to ask your doctor in your health diary
Make regular appointments with doctors
Review your test results with your doctor and dietitian to see how your diet is
As time goes by, review your dietary requirements and dietary restrictions
The medical team for treating chronic kidney disease is composed of various medical professionals.
Nephrologists specialize in kidneys. Your nephrologists will judge the stage of your kidney disease, make a treatment plan for you through treatment guidelines, and will seek help from other team members as needed, such as dietitians, nephrology nurses, or other doctors (such as cardiologists).
Nephrology nurses can answer questions about your health and why you feel this way, and help you understand the doctor's advice. Nephrology nurses can also be subdivided into nephrology nurses, dialysis nurses, hemodialysis nurses or peritoneal dialysis nurses.
Registered Dietitian (RD) is an expert in nutrition and the dietary needs of CKD people. Dietitians can help you make a diet plan according to your nutritional needs and what you like to eat. If you start dialysis, the dietitian will give you instructions according to your routine laboratory results. You can ask your dietitian any questions related to diet, nutrition, vitamins, drugs, medical issues and liquid balance.
If you need dialysis in the future, you can choose to receive treatment in the dialysis center. Nurses and other relevant medical personnel will help you prepare and monitor the whole process during the treatment.
If you need diagnosis or treatment, or information about your specific situation, then you could have an online consultation with our doctor. Emergency calls are available for your reference.
This website is for reference only and does not replace the physician's medical advice.
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