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November 25, 2009
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Kidney Disease (Hypertension-Related) (cont.)

How will I know whether I have kidney damage?

Kidney damage, like hypertension, can be unnoticeable and detected only through medical tests. Blood tests will show whether your kidneys are removing wastes efficiently. Your doctor should order tests to measure your serum creatinine. Having too much creatinine in your blood is a sign that you have kidney damage. The doctor should use the serum creatinine to estimate the main kidney function called glomerular filtration rate, or GFR.

Another sign is proteinuria, or protein in your urine. Proteinuria has also been shown to be associated with heart disease and damaged blood vessels.

How can I prevent high blood pressure from damaging my kidneys?

If you have kidney damage, you should keep your blood pressure below 130/80. The National Heart, Lung, and Blood Institute (NHLBI), one of the National Institutes of Health (NIH), recommends that people with kidney disease use whatever therapy is necessary, including lifestyle changes and medicines, to keep their blood pressure below 130/80.

How can I control my blood pressure?

NHLBI has found that five lifestyle changes can help control blood pressure:

  • Maintain your weight at a level close to normal. Choose fruits, vegetables, grains, and low-fat dairy foods.
  • Limit your daily sodium (salt) intake to 2,000 milligrams or lower if you already have high blood pressure. Read nutrition labels on packaged foods to learn how much sodium is in one serving. Keep a sodium diary.
  • Get plenty of exercise, which means at least 30 minutes of moderate activity, such as walking, most days of the week.
  • Avoid consuming too much alcohol. Men should limit consumption to two drinks (two 12-ounce servings of beer or two 5-ounce servings of wine or two 1.5-ounce servings of "hard" liquor) a day. Women should have no more than a single serving on a given day because metabolic differences make women more susceptible to the effects of alcohol.
  • Limit caffeine intake.


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