CKD 3a

Chronic Kidney Disease (CKD) Stage 3a – Information for NHS Patients

What is CKD Stage 3a?

Chronic Kidney Disease (CKD) is a condition where the kidneys are gradually damaged and lose their ability to filter waste and excess fluid from the blood. This condition is divided into five stages based on the level of kidney function.

Stage 3a of CKD is when kidney function has declined to a moderate level. Specifically, it refers to an estimated Glomerular Filtration Rate (eGFR) of 45–59 mL/min/1.73m². This means the kidneys are working at less than half of their normal capacity. While this stage often has few symptoms, it is an important point at which to manage and monitor the condition to prevent further damage.

What Does It Mean for the Future?

• Progression of CKD: If CKD is not well managed, it may progress to more severe stages. Stage 3a can potentially progress to Stage 3b (eGFR 30-44), Stage 4 (eGFR 15-29), or Stage 5 (eGFR less than 15), where kidney function is very low and dialysis or a kidney transplant may be needed. However, many people with CKD 3a can maintain kidney function with appropriate treatment and lifestyle changes.

• Other Health Risks: CKD can increase the risk of other serious health conditions such as heart disease, high blood pressure, and diabetes. Monitoring kidney function regularly is essential to avoid complications.

Self-Help Advice for Managing CKD Stage 3a

While CKD can’t be completely reversed, there are many ways to manage the condition and slow down its progression. Here are some key strategies:

1. Monitor Blood Pressure:

   • High blood pressure can damage the kidneys further. Aim for a blood pressure of around 135/85 mmHg or lower, depending on your doctor's advice.
   • Regularly check your blood pressure and follow any treatment plans prescribed by your healthcare provider.

2. Manage Diabetes:

   • If you have diabetes, keeping your blood sugar levels within the target range is essential to reduce the burden on your kidneys.
   • Work closely with your healthcare team to monitor and control your blood glucose levels.

3. Dietary Modifications:

   • Limit Salt: High salt intake can increase blood pressure and worsen kidney function. Try to keep salt consumption to less than 6 grams per day.
   • Control Protein Intake: Eating too much protein can put extra strain on the kidneys. Your doctor or dietitian will advise you on how much protein is appropriate for you.
   • Maintain a Healthy Weight: Being overweight can put additional strain on your kidneys and increase the risk of other complications like diabetes and high blood pressure.
   • Increase Fiber: Eating foods that are high in fiber, such as fruits, vegetables, and whole grains, can help maintain a healthy weight and blood sugar levels.

4. Stay Active:

   • Regular physical activity can help manage blood pressure, improve circulation, and maintain overall health. Aim for at least 150 minutes of moderate-intensity exercise each week, such as brisk walking or cycling.
   • If you are unsure about what exercise is suitable for you, consult your doctor or a physiotherapist.

5. Stay Hydrated:

   • Drink plenty of water to support kidney function. However, if you have fluid retention or other health concerns, your doctor may provide specific guidelines on how much to drink.

6. Avoid Smoking and Limit Alcohol:

   • Smoking can damage blood vessels and worsen kidney function. Quitting smoking is one of the most important steps you can take to protect your kidneys and heart.
   • Limit alcohol consumption to recommended levels (no more than 14 units per week for both men and women) to avoid additional strain on your kidneys.

7. Regular Check-ups:

   • Routine visits to your doctor are essential. Regular blood tests (e.g., kidney function tests) and urine tests help monitor how your kidneys are functioning and catch any early signs of further damage.

8. Medications:

   • Some medications can help control blood pressure or reduce the amount of protein in the urine, both of which protect the kidneys.
   • Always follow your doctor's recommendations on medications and ensure that you take them as prescribed.

9. Mental Health and Stress Management:

   • Living with a chronic condition like CKD can cause stress, anxiety, or depression. It's important to take care of your mental health by practicing relaxation techniques, such as mindfulness or deep breathing exercises. Seek support from family, friends, or a counselor if needed.

Resources to find out more: 

Stage 3a CKD- National kidney foundation

NHS CKD information

Conclusion

While a diagnosis of CKD Stage 3a can feel concerning, many people with this condition live active, healthy lives by taking steps to manage their health. Working closely with your healthcare team, making lifestyle changes, and following medical advice are key to slowing the progression of kidney disease and reducing the risk of complications.

By adopting these self-help strategies, you can empower yourself to manage CKD effectively and protect your kidney health for the future.