Translations:Chronic kidney disease/23/en
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Other measures
- Aggressive treatment of high blood lipids is recommended.
- A low-protein, low-salt diet may result in slower progression of CKD and reduction in proteinuria as well as controlling symptoms of advanced CKD to delay dialysis start. A tailored low-protein diet, designed for low acidity, may help prevent damage to kidneys for people with CKD. Additionally, controlling salt ingestion helps to decrease the incidence of coronary heart disease, lowering blood pressure and reducing albuminuria.
- Anemia – A target hemoglobin level of 100-120 g/L is recommended; raising hemoglobin levels to the normal range has not been found to be of benefit.
- Guidelines recommend treatment with parenteral iron prior to treatment with erythropoietin.
- Replacement of erythropoietin is often necessary in people with advanced disease.
- It is unclear if androgens improve anemia.
- Calcitriol is recommended for vitamin D deficiency and control of metabolic bone disease.
- Phosphate binders are used to control the serum phosphate levels, which are usually elevated in advanced chronic kidney disease.
- Phosphodiesterase-5 inhibitors and zinc may improve sexual dysfunction in men.