Chronic Kidney Disease: A Doctor’s Perspective on Balanced Living
By Dr. Sandy
Meet Uncle Wong, a 62-year-old retiree who loves his char kuey teow. Recently, he came to my clinic with Stage 3 chronic kidney disease (CKD). “Doctor, does this mean I can’t eat anything tasty anymore? What’s the point of living like that?” he asked, torn between humor and worry.
As a doctor, I see many patients like Uncle Wong. CKD, especially in its early stages, is a chance to take control and slow progression. Yet, the fear of dietary restrictions often looms large. Let’s explore how to manage CKD effectively, focusing on what can be done to live well.
Understanding CKD and Its Stages
CKD progresses through five stages, from mild kidney damage in Stage 1 to the need for dialysis or transplantation in Stage 5. For early to moderate CKD, the goal is to retard progression, maintaining quality of life for as long as possible.
Uncle Wong’s Stage 3 CKD reflects moderate kidney function decline. By taking proactive measures—focusing on nutrition, medical management, and lifestyle adjustments—he can delay worsening and avoid dialysis.
Steps to Retard CKD Progression
- Manage Blood Pressure and Diabetes
High blood pressure and diabetes are the leading causes of CKD in Malaysia. Patients should aim for a blood pressure below 130/80 mmHg and an HbA1c of <7% for diabetes. Uncle Wong’s love for rich, oily food had worsened his blood sugar control, a major risk factor for CKD progression. - Avoid Nephrotoxic Drugs
Over-the-counter painkillers like ibuprofen and certain herbal remedies—commonly used in Malaysian culture—can harm the kidneys. As I tell patients, “Natural doesn’t always mean safe.” It’s important to consult your doctor before taking supplements or medications. - Adopt a Kidney-Friendly Diet
Nutrition plays a key role in CKD management, but it doesn’t have to mean giving up flavor. Patients often worry that they’ll be stuck eating bland, tasteless food, but this is far from true when guided by skilled nutritionists and dieticians. - Adopt a Kidney-Friendly Diet
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