Renal (Kidney) Insufficiency

If you have diabetes, talk with your healthcare provider about controlling your blood sugar. Ask if you need to make any changes to your diet, lifestyle, or medicines.

If you have high blood pressure:

• Take your prescribed medicine. Your goal is to lower your blood pressure to less than 130/80, or as recommended by your provider.

• Start a regular exercise program that you enjoy. Check with your provider to be sure your planned exercise program is right for you.

• Cut back on the amount of salt (sodium) you eat. Your provider can tell you how much salt each day is safe for you.

• Monitor and record your blood pressure at home on a regular schedule. Ask your provider to teach you how to correctly check your BP. Bring the BP records with you to your appointments.

If you are overweight, talk with your provider about a weight loss plan.

If you smoke, quit. Smoking makes kidney disease worse. Talk with your provider about ways to help you quit. For more information, visit:

• Clearing the Air: Quit Smoking Today, a booklet from the National Cancer Institute, at smokefree.gov/sites/default/files/pdf/clearing-the-air-accessible.pdf

• Tools, tips, and articles on quitting at www.smokefree.gov

• The American Cancer Society's guide to quitting smoking at www.cancer.org/healthy/stayawayfromtobacco/guidetoquittingsmoking/

Talk with your healthcare provider about any restrictions you should make in your diet. In general, you should limit the amount of protein, salt, potassium, and phosphorus. Don’t drink too many fluids. Don’t add salt at the table and stay away from salty foods. You may need a calcium supplement to help prevent osteoporosis.

If you or your family feel overwhelmed by the dietary restrictions, ask for a referral to a registered dietitian. This person can help you understand and plan your diet.

Talk with your provider about any medicines you are currently taking to find out if they need to be reduced or stopped.

Before starting any over-the-counter (OTC) medicines, herbal supplements, or vitamins, talk with your healthcare provider or pharmacist. Make sure they won't harm your kidneys or interact with other medicines you take.

Don’t take the following OTC medicines. Or make sure to talk with your provider before you take them:

• Aspirin, ibuprofen, naproxen, and other NSAIDs. You may be able to use these for a short time to help with fever or pain.

• Laxatives and antacids with magnesium or aluminum

• Phospho-soda enemas with phosphorus

• Certain stomach acid-blocking medicine, such as cimetidine or ranitidine

• Decongestants with pseudoephedrine

• Herbal supplements

American Association of Kidney Patients at www.aakp.org

National Kidney Foundation at www.kidney.org

American Kidney Fund at www.kidneyfund.org

National Kidney Disease Education Program at www.nkdep.nih.gov

Severe weakness, dizziness, fainting, drowsiness, or confusion

Chest pain or shortness of breath

Heart beating fast, slowly, or irregularly

Upset stomach (nausea) or vomiting

Fever of 100.4°F (38°C) or higher, or as advised by your provider

Unexpected weight gain or swelling in the legs, ankles, or around your eyes

You don’t pee as much as normal, or you aren’t able to pee

New symptoms