An individual diagnosed with stage 1 chronic kidney disease (CKD) typically exhibits kidney damage, accompanied by a glomerular filtration rate (GFR) greater than 90 ml/min, which is considered normal or even high. Generally, no noticeable symptoms manifest to indicate kidney impairment at this stage. Consequently, most individuals are unaware that they have reached stage 1 CKD, and its detection often occurs incidentally while undergoing testing for other conditions like diabetes or hypertension, which are the leading causes of kidney disease.

Indicators of stage 1 kidney disease may include:

• Elevated levels of creatinine or urea in the bloodstream.
• The presence of blood or protein in the urine.
• Kidney damage revealed in diagnostic imaging tests such as MRI, CT scans, ultrasounds, or contrast X-rays.
• A family history of polycystic kidney disease (PKD).

Treatment for stage 1 kidney disease involves:

Regular monitoring of protein levels in urine and serum creatinine to assess the progression of kidney damage. Adopting a healthy lifestyle can help slow the advancement of kidney disease. Recommendations for individuals in stage 1 CKD include:

• Adhering to a nutritious diet:
  • Incorporating various grains, particularly whole grains, fresh fruits, and vegetables into meals.
  • Switching to a diet low in saturated fat and cholesterol while maintaining moderate total fat consumption.
  • Limiting the intake of refined and processed foods high in sugar and sodium.
  • Choosing and preparing foods with reduced salt or high-sodium ingredients.
  • Striving for a healthy weight and engaging in daily physical activity.
  • Maintaining protein intake within recommended levels, as advised by a renal dietitian.
  • Consuming an adequate amount of calories.
  • Taking vitamins and minerals as prescribed by a physician.
  • Usually, potassium and phosphorus restrictions are unnecessary unless blood levels exceed normal ranges.
• Maintaining healthy blood pressure levels:
  • For individuals with diabetes, target a blood pressure of 125/75.
  • For those without diabetes or proteinuria, aim for a blood pressure of 130/85.
  • For non-diabetic individuals with proteinuria, maintain a blood pressure of 125/75.
• Effectively managing blood sugar levels in cases of diabetes.
• Scheduling regular checkups with a healthcare provider, including serum creatinine tests to measure GFR.
• Adhering to prescribed medications as directed by a physician.
• Engaging in regular physical exercise.
• Cessation of smoking.

Living with stage 1 kidney disease:

While there is no cure for kidney disease, it may be possible to halt or slow down its progression through appropriate treatment and lifestyle adjustments. In many instances, the right therapeutic interventions and lifestyle changes can extend an individual’s overall health and the longevity of their kidneys.