Diabetes control: Regular screening for diabetes is essential to detect and manage the condition effectively. Achieving good control of blood sugar levels is crucial for preventing diabetes-related kidney complications.
Hypertension control: Regular home blood pressure monitoring aids in the early detection and management of hypertension. Following a DASH (Dietary Approaches to Stop Hypertension) or a diet low in sodium (salts) and is rich in fresh fruits, vegetables, beans, and legumes, and fat-free or with heart-healthy oils and consistently taking prescribed medications is vital for maintaining optimal blood pressure levels.
Hyperlipidemia management: Annual lipid profile screenings help in monitoring cholesterol levels. Consistent use of prescribed medications assists in controlling lipid levels, reducing the risk of kidney injury.
Combatting obesity: Weight loss strategies, regular exercise, and lifestyle modifications are instrumental in preventing kidney injury associated with obesity.
Polypharmacy awareness: Consulting physicians to identify potential drug interactions and nephrotoxic medications is crucial for minimizing the risk of kidney damage.
Addressing ischemic events: Seeking medical attention for symptoms indicative of ischemia helps preventing kidney injury.
Management of anemia: Monitoring for symptoms of anemia and undergoing relevant tests enable early detection and management, safeguarding kidney health.
Smoking and alcohol cessation: Quitting smoking and alcohol consumption reduces the risk of atherosclerosis, heart disease, and subsequent kidney injury.
Identification and management of nephrotoxic medications: Identifying and discontinuing nephrotoxic medications are vital steps in kidney injury prevention.
Avoidance of alternate medicines containing heavy metals: Avoiding of alternative medicines containing heavy metals is essential to prevent kidney damage.
Pre-existing CKD management: Monitoring pre-existing chronic kidney disease and adhering to prescribed treatments are crucial for preventing further renal deterioration.
Cardiovascular disease management: Proper management of cardiovascular diseases through medication adherence and lifestyle modifications preserves kidney function.
Liver disease management: Ceasing alcohol consumption and treating associated infections is vital for kidney health in individuals with liver disease.
Early detection of obstructive symptoms: Early detection and management of obstructive symptoms prevent kidney injury.
Vigilance for Myeloma: Suspicion of myeloma in unexplained kidney injury underscores the importance of thorough evaluation for timely intervention.
Minimising radiocontrast dye usage: Reducing the amount of radiocontrast dye used and opting for safer alternatives mitigate the risk of kidney injury.
Post-procedural monitoring: Vigilant monitoring for kidney injury post-cardiovascular and vascular procedures is crucial for timely intervention.
Addressing dementia and social factors: Addressing medication compliance issues in individuals with dementia and seeking familial support are essential for maintaining kidney health.
Nutritional awareness: Detecting signs of malnutrition and addressing nutritional deficiencies are vital for overall health, including kidney function.
(The author, Dr Krishna Reddy, is a Consultant – Nephrologist, at Manipal Hospital.)
