Management of risk factors like diabetes, high blood pressure, obesity, high cholestrol, stressful lifestyles, lack of excercises, smoking, other drug abuses.

Taking medicines specially pain killers.

Identify associated complications - presence of infection in the form of fever, fluid deprivation due to vomiting, diaherea, dysentery etc. excessive sweating or sudden unaccustomed exercises.

TIGHT BLOOD PRESSURE CONTROL AND TIGHT DIABETES MANAGEMENT ARE MOST IMPORTANT FACTORS IN SLOWING KIDNEY DISEASE PROGRESSION.

Diet plays an important part in management of kidney disease. A balance diet made in keeping you healthy as well avoid excess protein load on your tiring kidneys

Protein Regulation.
In erly stage (predialysis stage) protein requirement is 0.6gm/kg body weight.
Anaverage Indian weights 50kgs.It means 30-35 grams of first class dietary proteins can be had every day.
However patient on Dialysis needs 1.2-1.3gm/kg body weight, high biological value proteins, e.g.eggs, chicken,meat, fish, paneer/milk products, soyabean and pulses.

Potassium has to be restricted in diet; it is present in high amount in fruits, nuts and green vegetables. Potassium can be removed from vegetables by leeching.

Sodium Restriction:
To reduce sodium content in diet, do not add salt during cooking or on the table.

 Avoid

•  Cakes, pastries, biscuits, squash.
•  Papads, pickles,salted chips, nuts, popcorns.
• Commercial soft drinks and proprietary drinks.
• (They are high in sodium/potasium)
• Dried foods like fish, fruits;readymade soups and canned foods.  

Foods which could be eaten freely
(Low in protein and Potassium and high in calories)
Sugar, arrow-root, sago preparation, unsalted butter, refined flour, rice preparation, vegetables oil. Vegetables especially after leaching.

As a patient of CKD your recommended diet will change over time, depending on how much kidney function you have and the renal eplacement therapy you are on. The hospital dietician will explain the changes you need to make in your diet and help you choose the right food.