CKD Stage 1 Management and Treatment Strategies

🔹 Overview of CKD Stage 1 and Treatment Goals

CKD Stage 1 Management, Stage 1 Chronic Kidney Disease (CKD) is defined as a glomerular filtration rate (GFR) of 90 or above, but with possible signs of kidney damage such as proteinuria or structural abnormalities. Since kidney function remains normal at this stage, the primary focus is on prevention and disease progression control. Proper management can significantly slow the disease’s advancement.

🎯 CKD 1 Treatment Goals:
✔ Maintain and protect kidney function
✔ Manage underlying conditions such as hypertension and diabetes
✔ Regulate sodium and protein intake through dietary modifications
✔ Engage in regular exercise and weight management
✔ Avoid nephrotoxic medications and harmful substances

📊 Key Summary of CKD 1 Management

Management Area	Key Actions
Regular Kidney Function Monitoring	Periodic GFR, proteinuria, and blood pressure check-ups
Dietary Modifications & Exercise	Low-sodium diet, balanced protein intake, regular exercise (3-5 times per week)
Blood Pressure & Blood Sugar Control	Maintain blood pressure below 130/80 mmHg, strict diabetes management
Avoiding Harmful Medications & Supplements	Caution with NSAIDs, contrast dyes, and certain herbal ingredients (e.g., aristolochic acid)

🍽 CKD 1 Diet Plan: Nutritional Strategies for Kidney Protection

1️⃣ Reduce Sodium Intake (1,500–2,300 mg per day)

• Limit processed foods (ham, instant noodles, packaged snacks)
• Use herbs, garlic, and lemon juice instead of salt

2️⃣ Moderate Protein Intake (0.8g per kg of body weight)

• Excessive protein intake increases kidney workload
• Preferable protein sources: fish, tofu, eggs, chicken

3️⃣ Control Potassium & Phosphorus Intake

• Monitor high-potassium foods (bananas, potatoes, oranges)
• Reduce phosphorus-rich foods such as sodas and processed foods

4️⃣ Maintain Adequate Hydration (1.5–2L per day)

• Proper hydration supports kidney function
• Consult a doctor if swelling or fluid retention occurs

📊 Research Data: A 2020 study from the American Society of Nephrology found that CKD patients who limited sodium intake to under 2g per day had a 30% lower progression rate.

🏃‍♂️ CKD 1 Exercise Plan: Managing Blood Pressure & Weight

✔ Engage in 30–60 minutes of moderate exercise (walking, cycling) 3-5 times per week
✔ Regular physical activity helps regulate blood pressure and blood sugar
✔ Maintain a healthy BMI between 18.5 and 24.9

📌 Case Study:
A 2022 study from the Japanese Nephrology Association reported that CKD patients who exercised at least five times a week experienced 25% slower disease progression.

💊 Medications for CKD 1: Protecting Kidney Function

✅ Blood Pressure Management

• ACE inhibitors (Lisinopril) or ARBs (Losartan) recommended for CKD patients
• Target blood pressure: Below 130/80 mmHg

✅ Diabetes Control

• If blood sugar levels are high, Metformin or SGLT-2 inhibitors (Dapagliflozin) may be recommended

✅ Cholesterol Management

• Statins (Atorvastatin) may be prescribed if necessary

📊 Research Data:
A 2019 NEJM study showed that strict blood sugar control in diabetics reduced CKD progression by 20–30%.

⚠️ Medications & Substances to Avoid with CKD 1

🚫 NSAIDs (Ibuprofen, Naproxen): Increases risk of kidney damage
🚫 Contrast Dye in Imaging Tests: Can be nephrotoxic; use with caution
🚫 Herbal Supplements: Some traditional medicine herbs (e.g., Aristolochic acid) can cause kidney damage

📌 Case Study:
A 2021 FDA report found that 20% of patients taking NSAIDs long-term experienced kidney function decline.

📌 Summary of CKD 1 Management

✔ Regular kidney function tests (GFR, proteinuria) are essential
✔ Dietary control (low sodium, balanced protein) and regular exercise
✔ Strict blood pressure and blood sugar management to reduce kidney strain
✔ Avoid nephrotoxic drugs and harmful supplements

---

Signs You’re Not Drinking Enough Water