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KNOWLEDGE

CHANCES ARE, WHEN you wake up in the              HOW                             nephropathy, which compromises their ability
morning, the health of your kidneys is not the    DOES                            to function,” says Maredyth Walters, RN, MSN,
first thing that comes to mind. But your kidneys  DIALYSIS                        CCRN, Director of Renal Care Services at The
are important for your overall health. And        WORK?                           Medical Center, Navicent Health. “Unfortunately,
following a few healthy habits may help you keep                                  this is a silent condition that causes problems
them in good shape. For example:                  If your kidneys are not         long before your body shows any symptoms.”
»» Choose a menu high in nutrients and low        able to do their job, your
                                                  healthcare provider may            If you have diabetes and kidney disease,
   in sodium.                                     move you to dialysis            talk with a specialist about how to manage
»» Do not smoke or use other tobacco products.    treatment. If you have end-     blood sugar, blood pressure and cholesterol
»» Exercise regularly.                            stage kidney failure, dialysis  successfully.
»» Follow instructions from your physician        takes on the responsibility
                                                  of the kidneys to:              THE STAGES OF DISEASE
   regarding check ups and medications.           »» Balance the amount of
»» Maintain a healthy weight.                                                     Once kidney disease happens, it may continue
»» Take steps to control blood pressure and          chemicals in the blood,      in five stages. These stages are categorized from
                                                     including bicarbonate,       stage 1 through stage 5. Stage 1 is the mildest
   cholesterol levels.                               potassium and sodium.        form of the disease. Stage 5 means that your
   Your kidneys rid the body of excess fluid and  »» Help control blood           kidneys are failing. This is also called end-stage
waste. They also filter about 200 quarts of your     pressure.                    renal disease.
blood every day. But that’s not the end of the    »» Rid the body of excess
story. Your kidneys are responsible for helping      salt, waste and water.          African-Americans are three times as likely
produce your red blood cells. They create an         Your healthcare provider     to develop failure of the kidneys. If you are
active form of vitamin D that strengthens your    may administer one of two       African-American, be very proactive about
bones and, and your kidneys control pH levels in  different types of dialysis:    following healthy lifestyle habits, including
your body.                                        hemodialysis or peritoneal      having regular checkups with your healthcare
   When your kidneys are working correctly,       dialysis. If you receive        provider. These appointments will help find
you may take them for granted. But if your        hemodialysis, your blood        warning signs of kidney disease, which does not
kidneys are damaged, you may begin to notice      is pumped from the body         always cause symptoms.
complications that you can’t ignore, including:   to a machine designed
»» Anemia                                         to function as an artificial       If you develop kidney failure, your doctor may
»» Difficulty concentrating                       kidney. The fresh blood is      recommend aggressive forms of therapy. These
»» Erectile dysfunction                           then pumped back into           therapies may include kidney transplant or two
»» Low libido                                     the body.                       types of dialysis—hemodialysis and peritoneal
»» Seizures                                          If you receive peritoneal    dialysis. Specialists may perform peritoneal
»» Weak bones and increased risk for fractures    dialysis, your body works       dialysis in the home or at the hospital.
   “Once someone begins to exhibit signs of       as the natural filter thanks
kidney failure, irreversible damage has already   to the lining of your              “These are very effective treatments
been done,” says Robert Bernstein, MD, FACE,      stomach. Dialysate, a           when the patients follow their healthcare
endocrinologist with Navicent Health. “But there  cleansing fluid, washes         providers’ recommendations about diet,
are still things you can do to take care of your  into the belly and rinses       medications and schedules,” Walters says.
body and slow progression of the disease.”        out in cycles. A catheter       “Many of these patients may lead normal
                                                  delivers and removes the        lives. So I encourage them to be proactive by
WHO IS AT RISK FOR KIDNEY DISEASE?                fluid from the body.            investing time and energy into their bodies
                                                     Talk with your healthcare    and health. Diabetes and kidney failure are
Many different diseases and conditions            provider about which            not death sentences.”
can increase your chance of kidney disease.       option is right for you
These may include enlarged prostate, high         depending on your stage            Keep in mind that when end-stage renal
blood pressure and chronic kidney infections.     of disease.                     disease does occur, managing other serious
Uncontrolled blood sugar levels associated with                                   health conditions such as heart disease and high
Type 1 and Type 2 diabetes can also cause the                                     blood pressure is important. When not addressed
risk of kidney disease to climb. In fact, about                                   properly, these diseases may lead to heart attack
30 percent of patients with Type 1 diabetes and                                   or stroke. Remember to take blood pressure
between 10 and 40 percent of patients with                                        medication regularly. A healthy level for your
Type 2 diabetes develop kidney failure.                                           blood pressure is in the range of 120 systolic
                                                                                  pressure or less.
   “Uncontrolled blood glucose levels can
cause many physiological complications,                                           FOR MORE INFORMATION ABOUT
including damage to kidneys known as diabetic                                     RENAL CARE AT NAVICENT HEALTH,
                                                                                  VISIT WWW.NAVICENTHEALTH.ORG/
                                                                                  SERVICE-CENTER/RENAL-SERVICES.

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