Glomerular filtration rate (GFR) is a test used to check how well the kidneys are working. Specifically, it estimates how much blood passes through the tiny filters in the kidneys, called glomeruli, each minute. This test can be easily done by Blood Test asking the Pathologist to do GFR test for CKD. (CHRONIC KIDNEY DISEASE)

Stage GFR* Description Treatment stage
1 90+ Normal kidney function

2 60-89 Mildly reduced kidney function. Observation, control of blood pressure and risk factors. More on management of Stages 1 and 2 CKD.

3B 45-59
30-44 Moderately reduced kidney function Observation, control of blood pressure and risk factors. More on management of Stage 3 CKD.

4 15-29 Severely reduced kidney function Planning for endstage renal failure. More on management of Stages 4 and 5 CKD.

5 <15 or on dialysis Very severe, or endstage kidney failure (sometimes call established renal failure) Treatment choices. More on management of Stages 4 and 5 CKD. May need Transplant of Kidney.


STAGE 3A and 3B 6 monthly GFR 30–59 6 monthly

In people aged over 70 years, an eGFR in the range 45–59 , if stable over time and without any other evidence of kidney damage, is unlikely to be associated with CKD-related complications

Phosphorus is a mineral found in dairy products, nuts, and meat that is essential for bone health and many other important functions inside the body's cells. The kidneys are responsible for keeping the blood levels of phosphorus normal. Healthy kidneys do this by spilling excess phosphorus into the urine. In patients with chronic kidney disease, the kidneys are unable to spill an adequate amount of phosphorus so that excess phosphorus can accumulate in the walls of blood vessels leading to heart disease, their leading cause of death. A recently discovered hormone called FGF-23 helps control the blood levels of phosphorus by "telling" the kidney how much phosphorus to spill in the urine. The purpose of this study is to learn more about how FGF-23 helps the kidneys control the blood levels of phosphorus. The ultimate goal is to use this information to design improved treatment strategies for phosphorus-related problems for the millions of patients with chronic kidney disease

In patients with chronic kidney disease (CKD), blood levels of a hormone called fibroblast growth factor-23 (FGF-23) rise in parallel with declining kidney function, causing excess excretion of phosphorus in the urine. Also, FGF-23 has been consistently and strongly linked with heart disease and premature death, but the mechanisms behind these links are unclear. It is still in Experimental Satge. more  

Thanks Mr. Bansal. Regards more  
DIET FOR CKD (CHRONIC KIDNEY DISEASE) PATIENTS. Dietary guidelines: - Salt (or sodium) is a major cause of CKD, high blood pressure and heart disease. Restrict your daily intake. High salt intake causes fluid retention. Don't add salt after cooking -- the lesser, the better! Low-salt substitutes are no good either, since they contain high levels of potassium. - A low-protein diet slows disease progression and avoids build-up of excess urea. Protein is however essential for growth, muscle building and tissue repair. So consume enough protein to stay healthy. - Potassium levels can be high in severe renal failure or for those on dialysis. Very high levels are dangerous and can cause cardiac arrest. A word of caution: restrict intake only after consulting your dietician and checking your potassium level. This is necessary because potassium is present in many healthy foods. - Phosphorus levels must also be controlled. Excess phosphorus can cause total kidney failure as well as bone disease and heart ailments. - Calcium is another concern for kidney patients, causing serious bone disease in later years if not controlled. - Fluid intake must also be monitored. If not on dialysis, however, do not restrict fluids unless there is a fluid overload problem. Drink water only when you are thirsty. If fluid retention is a problem, limit salt intake. You cannot control fluid intake if you consume too much salt – you will keep feeling thirsty. Healthy eating controls blood pressure, weight, cholesterol and blood sugar levels, slowing the progression of kidney disease. While diet control is critical, the portion size also matters. If you eat in excess, the nutritional value changes considerably. However, even if you follow the diet regimen, some phosphorus may still build up in your body. When your kidneys aren't functioning well enough, you may need dialysis to eliminate the extra phosphorus. But dialysis alone can't do the job. Since most foods contain phosphorus, it's necessary to take a medication called phosphate binder. When you consume phosphate binders like sevelamer carbonate during or immediately after meals, it binds like a magnet to the phosphorus in your food. This prevents phosphorus from being absorbed by your body. Remember to take your phosphate binder along whenever you travel, so you don't miss a single dose. Diet, dialysis, and medication are all crucial in their own way. But it takes a combination of all three to have kidney disease under control. Cigarettes and alcohol must also be avoided or reduced. If you follow these guidelines strictly, your life will never be completely knocked down by CKD. Lower Potassium Fruit Apples, Blueberries, canned (drained) fruit, Cranberries, Grapes, Mango, Peach (small), Pear, Pineapple, Plum, Watermelon Vegetables Asparagus, Beans (green/yellow), Carrots (boiled), Cauliflower, Celery, Corn, Cucumber, Eggplant, Lettuce, Onions, Peas (green or snow, boiled), Peppers more  
Very useful info.Thanks more  
Mr Neeraj I am a dietician with specialisation in clinical and child nutrition. Customised diet charts are prepared keeping in mind people diseases/ problems. You can contact me if any query. more  
the information is really helpful ... but from where can we get the actual diet plan be obtained with easily understandable portions of diet customized to the person concerned... more  
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