Chronic kidney disease has 5 stages defined by the ability filter blood through that organ. Normal kidney function is an estimated glomerular filtration rate (eGFR) of 100 milliliters per minute. Stage 3 CKD is defined by an eGFR of 31 to 60 milliliters per minute on a standard blood test. Stage 4 is 30 to 16 and stage 5 is 15 or less (needs dialysis) In patients with commercial insurance, patients with no CKD cost $7537 dollars per patient per year. Stage 4-5 patients cost $76,969 dollars per patient year. There is a
There are. Diabetic patients treated with optimal medical therapy went on to dialysis one sixth as often as patients in usual care in the Steno-2 trial data reported in the NEJM in 2008. I treated 81 diabetics with CKD with OMT and demonstrated a 7.5 ml./min improvement in estimated glomerular filtration rate. SGLT2 inhibitors and ACE inhibitors slow progression.
In terms of slowing progression, are there evidence-based interventions beyond blood pressure control and limiting excessive dietary protein?
There are. Diabetic patients treated with optimal medical therapy went on to dialysis one sixth as often as patients in usual care in the Steno-2 trial data reported in the NEJM in 2008. I treated 81 diabetics with CKD with OMT and demonstrated a 7.5 ml./min improvement in estimated glomerular filtration rate. SGLT2 inhibitors and ACE inhibitors slow progression.