
Many people think a diagnosis of chronic kidney disease (CKD) means dialysis is inevitable, but that is a common misconception. CKD develops in stages, and many people, especially those diagnosed early, can slow its progress for years with the right care. Controlling blood sugar and blood pressure, eating a kidney-friendly diet, staying hydrated as advised, avoiding unnecessary painkillers and taking prescribed medicines regularly all help protect the kidneys. CKD often causes no symptoms in the early stages, so regular tests such as blood creatinine, eGFR and a urine check are important, especially for people with diabetes, high blood pressure or a family history. Do not stop or start medicines or supplements on your own. Consult a nephrologist if you notice swelling, foamy urine, a change in how often you pass urine, or constant tiredness.