At Chronic Kidney Failure Stage 4, severe kidney damage has happened. At this stage, it is very important to slow the loss of kidney function by following your treatment plan, and managing other problems like high blood pressure or heart disease.At CKD stage 4, one does not need dialysis. The time before a patient starts on dialysis depends on what the causes for the CKD, how well it is being controlled, e.g. diabetes or HBP and the age of the patient.
Help Keep Your Kidney Disease from Getting Worse
Good self-management will help you to live a long, fulfilling life and continue to do the things you love. It can also help to slow or even stop kidney disease from getting worse – and it may even stop or delay kidney failure. Good self-management starts with:
- Controlling other health problems you may have
Lose weight if you are overweight
Cut down on salt in your diet to control blood pressure
If you have diabetes, monitor your blood sugar, follow your diet and take your medications as prescribed
- Treating complications of kidney disease
If you have stage 4 kidney disease, you are probably experiencing some of these problems already. Your healthcare professional will work with you to develop a treatment plan to help manage these problems and keep them from getting worse. Treatment may include diet, exercise, and medications. It is very important that you follow your treatment plan because it can greatly improve your quality of life and how long you live.
Managing or preventing heart disease
People with stage 4 kidney disease have a high risk of having heart disease. In fact, most people with kidney disease do not die of kidney failure – they die of heart disease. Why? Because, in addition to kidney disease, they usually have one or more of the health risks， such as High blood pressure ,Diabetes, Anemia ,Bone and mineral disease.