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Besides Creatinine and Proteinuria, What Other Indicators You Should Monitor

Besides Creatinine and Proteinuria, What Other Indicators You Should Monitor
Creatinine level and proteinuria are the two topics that kidney patients talk a lot. But it is not enough to only focus on these two indicators. What other indicators should you monitor? In this article, we will tell you.

1. Blood pressure

More than half of all patients with chronic kidney disease in China have hypertension, and the incidence of hypertension is higher in renal failure and dialysis patients.

Patients with chronic kidney disease have different targets for blood pressure control.

If 24-hour urinary protein quantification is less than 1.0g, blood pressure should be within 130/80mmhg.

If 24-hour urinary protein quantification is more than 1.0g, blood pressure should be no more than 125/75mmhg.

Choose ACEI or ARBs. And control salt intake strictly, and monitor blood pressure regularly.

2. Blood sugar

Long-term high blood sugar can cause damage to the kidney, and the damage is irreversible.

Oral hypoglycemic agents, insulin use and reasonable selection of staple food are of great help to control blood glucose and delay the progress of the disease in patients with Diabetic Nephropathy.

For patients of different ages, the target of blood glucose control is:

19-49 years old: 4.4-6.1mmol/L;

50-79 years old: 4.4-7.0mmol/L;

Over 80 years old: 6.0-8.0mmol/L

3. Serum uric acid

Under normal purine diet, when two times of fasting uric acid level in different days is higher than 420 umol/L for men and 360 mol/L for women, it is called hyperuricemia.

Hyperuricemia can lead to systemic and glomerular hypertension, promote the formation of renal inflammatory response and fibrosis, cause obstructive nephropathy, and promote the progression of renal failure.

For CKD patients with gout, chronic joint disease and repeated gout > 2 times/year, it is recommended to control uric acid within 300 umol/L.

For other CKD patients, uric acid is controlled within 420 umol/L (for non-menopausal women <380 umol/L).

4. Blood potassium

Hyperkalemia is a common serious complication of chronic kidney disease, causing arrhythmia and even sudden death.

The normal blood potassium concentration is between 3.5 and 5.5 mmol/L.

When the blood potassium concentration is between 5.5 and 6.5mmol/L, it is hyperkalemia.

When it is higher than 6.5 mmol/L, it is severe hyperkalemia.

Patients with chronic kidney disease should be regularly tested for blood potassium, especially those with chronic renal insufficiency and uremia.

5. Hemoglobin level

Anemia is common in patients with kidney disease.

In China, when adult male Hb<120g/L, adult female (non-pregnant) Hb<110g/L, and pregnant woman Hb<100g/L, it is anemia.

For renal anemia, drugs such as erythropoietin, iron, folic acid, and vitamin B12 are required.

If the gastrointestinal symptoms of chronic kidney disease are obvious and resistant to oral iron preparations, iron can also be administered intravenously (such as iron sucrose).

Animal liver, animal blood and red meat can also be supplemented.

The target value of renal anemia treatment is between 110 and 120g/L.

6. Body mass index

Metabolic disorders and inflammation in the body caused by obesity are risk factors for progressive renal function decline. The BMI can be controlled at 18.5~23.9kg/m2.

The specific formula is: weight (kg)/height (m)².

If you have any problems on the above indicators, please leave a message below or contact online doctor.

Tag: CKD CKD Symptoms
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