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    1. About Kidney Disease
      1. OVERVIEW
      2. Understanding Chronic Kidney Disease
      3. Kidney Disease Stages
      4. What Is a Nephrologist?
      5. What to Expect with CKD
      6. Kidney Disease Management
      7. Understanding Acute Kidney Injury
      8. How Kidneys Work
      9. Take a FREE CLASS on Kidney Disease
    2. Treatments
      1. OVERVIEW
      2. Dialysis Basics
      3. Benefits of Home Dialysis
      4. Home Peritoneal Dialysis
      5. Home Hemodialysis
      6. Sign up to Talk to a Home Dialysis Expert
      7. In-Center Hemodialysis
      8. Transplant
      9. Insurance & Managing Costs
      10. Choosing Not to Treat
    3. Life On Dialysis
      1. OVERVIEW
      2. Your Emotional Health While on Dialysis
      3. Staying Engaged
      4. Staying Healthy
      5. Dialysis Travel Services and Information
      6. Tips for Loved Ones
      7. PatientHub
    4. Recipes & Nutrition
      1. OVERVIEW
      2. Recipes
      3. Managing Your Diet
      4. Fluid Management on Dialysis
      5. Dialysis Diet Planning
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    Find a Dialysis Center

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      1. About Kidney Disease
        1. Understanding Chronic Kidney Disease
          1. Symptoms
          2. Risk Factors
          3. Causes
          4. Diagnosis and Testing
          5. GFR Calculator
        2. Kidney Disease Stages
          1. Stage 1
          2. Stage 2
          3. Stage 3
          4. Stage 4
          5. Stage 5
        3. What Is a Nephrologist?
        4. What to Expect with CKD
        5. Kidney Disease Management
          1. Kidney Diet Basics
          2. CKD Medications
          3. Your Kidney Care Team
          4. Diabetes
          5. High Blood Pressure
        6. Understanding Acute Kidney Injury
          1. Acute Kidney Injury Treatment and Recovery
        7. How Kidneys Work
        8. Take a FREE CLASS on Kidney Disease
      2. Treatments
        1. Dialysis Basics
          1. How Does a Hemodialysis Machine Work
          2. Starting Dialysis
          3. Types of Dialysis Access
          4. Your Care Plan
          5. Dialysis Medications
          6. Monitoring Your Lab Results
        2. Benefits of Home Dialysis
        3. Home Peritoneal Dialysis
          1. What to Expect
          2. Getting Prepared
          3. PD Access
          4. PD Training
          5. PD Monitoring
          6. Your Care Team
        4. Home Hemodialysis
          1. What to Expect
          2. Getting Prepared
          3. HD Training
          4. HD Monitoring
          5. Your Care Team
        5. Sign up to Talk to a Home Dialysis Expert
        6. In-Center Hemodialysis
          1. In-Center Treatment Options
          2. What to Expect
          3. Types of Vascular Access for Hemodialysis
          4. Your Care Team
          5. How to Choose a Center
        7. Transplant
          1. Finding a Kidney Donor
          2. Considering Kidney Donation
        8. Insurance & Managing Costs
          1. Understanding Medicare Coverage
          2. Understanding Medicare Advantage
          3. Understanding Employer Plans
        9. Choosing Not to Treat
      3. Life On Dialysis
        1. Your Emotional Health While on Dialysis
          1. Managing Your Emotions
          2. Talking About Dialysis
          3. Intimacy
          4. Body Image and Dialysis
          5. Building Your Dialysis Support Network
        2. Staying Engaged
          1. Tips for Working While on Dialysis
          2. In-Center Activities
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        3. Staying Healthy
          1. Managing Your Time on Dialysis
          2. Dialysis & Exercise
          3. Weight Management
          4. Avoiding Infection
          5. Managing Multiple Conditions
          6. Fighting the Flu
        4. Dialysis Travel Services and Information
        5. Tips for Loved Ones
          1. In-Center Hemodialysis
          2. At-Home Hemodialysis
          3. At-Home Peritoneal Dialysis
        6. PatientHub
      4. Recipes & Nutrition
        1. Recipes
        2. Managing Your Diet
          1. Eating Well on a CKD Diet
          2. Eating Well on a Dialysis Diet
          3. Salt and Kidney Disease
          4. Potassium and Kidney Disease
          5. Phosphorus and Kidney Disease
          6. Talking With Your Dietitian
        3. Fluid Management on Dialysis
        4. Dialysis Diet Planning
          1. Kidney-Friendly Shopping
          2. Eating Out
          3. Holiday Diet Tips
          4. A Chef’s Advice | Chef Aaron McCargo on Kidney Friendly Meals
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        2. Dialysis
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        6. See All
      Understanding Chronic Kidney Disease
      Understanding Chronic Kidney Disease
      OVERVIEW Symptoms Risk Factors Causes Diagnosis and Testing GFR Calculator
      1. Home
      2. About Kidney Disease
      3. Understanding Chronic Kidney Disease
      4. Causes

      Understanding the Causes of Chronic Kidney Disease

      Share:
      Causes of chronic kidney disease pie chart. 44% is caused by diabetes, 29% high blood pressure, 18.4% other, 7% glomerular disease, and 1.6% polycystic kidney disease.

      Diabetes

      Diabetes is the number one cause of kidney failure in the US—responsible for 44% of kidney disease cases.

      how does diabetes cause kidney disease

      Why diabetes can cause kidney disease

      Diabetes can impact blood circulation within the glomerulus, a part of the kidney’s blood-filtering system. People with diabetes may also have the following risk factors:

      • High blood pressure
      • Poor glucose control
      • A family history of kidney disease
      kidney disease progression from diabetes

      How kidney disease progresses with diabetes

      Type 1 diabetes

      • Changes in kidney function may begin within 2–5 years after diagnosis of diabetes.
      • Within 10–30 years of being diagnosed with type 1 diabetes, 30%–40% of people develop late stage kidney disease.

      Type 2 diabetes

      • Kidney disease in type 2 diabetes follows a timeline that is similar to type 1 diabetes, but type 2 diabetes usually occurs later in life.
      how to prevent kidney disease with diabetes

      What you can do to prevent kidney disease with diabetes

      Too much glucose can impact your kidney’s ability to function over time. Make sure you:

      • Eat healthy.
      • Take medication to control glucose levels.
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      High blood pressure

      High blood pressure (hypertension) is the second leading cause of kidney failure in the US. About 29% of kidney failure cases are caused by high blood pressure.

      can high blood pressure cause kidney disease

      Why high blood pressure can cause kidney disease

      High blood pressure weakens blood vessels in the entire body—including the kidneys—which results in a loss of their ability to function.

      kidney disease progression with high blood pressure

      How kidney disease progresses with high blood pressure

      When blood vessels in the kidneys are damaged, they lose their ability to remove waste and extra fluid from the body. Extra fluid raises blood pressure even more—creating a cycle that can lead to kidney failure.
      how to prevent kidney disease from high blood pressure

      What you can do to prevent kidney disease with high blood pressure

      It’s recommended that you keep your blood pressure below 140/90. Here are ways you can keep your blood pressure under control:

      • Eat healthy
      • Exercise
      • Reduce stress
      • Don’t smoke
      • Talk to your doctor about medication

      GET TESTED FOR CKD

      If you're living with one of the conditions that can cause CKD, talk to your doctor about getting tested. Early diagnosis is key to preserving kidney function.

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      Glomerular disease

      The third leading cause of kidney failure, glomerular disease, is responsible for about 7% of instances of CKD.

      can glomerular disease cause kidney disease

      Why glomerular disease can cause kidney disease

      The glomeruli are tiny filters within each kidney where blood is cleaned. Glomerular diseases damage these important filters so that the kidneys aren’t able to filter waste and fluid properly.
      kidney disease progression with glomerular disease

      How kidney disease progresses with glomerular disease

      With glomerular disease, waste builds up in the blood. Protein and even red blood cells can leak into the urine. When the blood loses its ability to absorb extra fluid, it causes swelling in the body, particularly in the hands and ankles. These stresses on the kidney’s filtering system can eventually lead to kidney failure.
      how to prevent kidney disease from glomerular disease

      What you can do to prevent kidney disease with glomerular disease

      Talk to your doctor to see if any of the following medications could help:

      • ACE inhibitors or ARBs lower blood pressure and stop protein loss in the urine.
      • Diuretics (water pills) treat swelling in your ankles and feet.
      • Corticosteriods can help manage your immune system.

      Polycystic kidney disease

      Polycystic kidney disease (PKD) is passed down through families, and causes about 1.6% of instances of CKD.

      Can polycystic kidney disease cause kidney disease

      Why PKD can cause kidney disease

      PKD causes a buildup of cysts in the kidneys, and these cysts are filled with fluid. When too many cysts develop, or get too big, the kidneys expand and don’t work as they should.
      kidney disease progression with pkd

      How kidney disease progresses with PKD

      PKD gets worse slowly. A person with PKD will have it from birth, but it may take years for symptoms to show. While symptoms can be treated with medication, PKD can still lead to kidney failure. Luckily, people with PKD may be good candidates for a kidney transplant.
      how to prevent kidney disease from PKD

      What you can do to prevent kidney disease with PKD

      Lifestyle changes can help prevent PKD—and CKD—from progressing. Here are some things you can do:

      • Drink plain water.
      • Avoid caffeine.
      • Get 7–8 hours of sleep per night.
      • Maintain a healthy weight.
      • Reduce stress.
      • Keep blood pressure levels under control.
      • Treat bladder or kidney infections as soon as possible.

      Keep in mind that not everyone with PKD will develop kidney failure, but certain people are at an increased risk:

      • Men
      • People with high blood pressure
      • People with protein or blood in their urine
      • Women with high blood pressure who have had more than 3 pregnancies

      What you can do to prevent kidney disease

      Early kidney disease rarely has symptoms. If you are at risk for kidney disease, ask your doctor about screening for CKD and keep track of changes in your health.


      What you can do if you have late stage kidney disease

      If your doctor has already diagnosed you with late stage kidney disease, it’s time to make a treatment plan. Luckily, you have options with late stage kidney disease and it’s possible to choose one that fits your lifestyle. Let your doctor know what’s important to you, and together you can decide which treatment is best for you.

      Learn about kidney disease treatment options
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