Animal sources of protein include red meat, poultry, fish, eggs, and dairy foods. Plant-based sources of protein include beans, legumes, nuts, seeds, soy foods, and whole grains. If you have kidney disease and are not on dialysis, a diet lower in protein may be recommended. Symptoms. In the early stages of diabetic nephropathy, there might not be symptoms. In later stages, symptoms may include: High blood pressure that gets harder to control. Swelling of feet, ankles, hands or eyes. Foamy urine. Confusion or difficulty thinking. Shortness of breath. Loss of appetite. If the kidneys are failing, it can lead to higher blood pressure and cause heart damage. When blood vessels in the kidneys are damaged, the kidneys are not able to fully function. This means they Chronic kidney disease. Persistent inflammation results in long-term damage and declining function of the kidneys. Chronic kidney disease is generally defined as kidney damage or decreased function for three or more months. Chronic kidney disease may advance to end-stage kidney disease, which requires either dialysis or a kidney transplant At 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. Stage 5 is kidney failure. If kidney failure happens, you will need a kidney transplant or dialysis to live. . Purpose. The serum (blood) creatinine test is a blood test used to check how well your kidneys are filtering your blood. It is usually ordered in combination with other tests as part of a bundle called the “basic metabolic panel” (BMP) or “comprehensive metabolic panel” (CMP). It is one of the most frequently ordered lab tests and is Diabetes is the leading cause of kidney failure, accounting for 44% percent of new cases. Current research suggests that control of high blood pressure is a key factor in slowing this disease. Strict control of blood sugar levels and reduction of dietary protein intake are also important. Treatment to prevent diabetic kidney disease should begin early — before kidney damage develops. In the Patients approaching kidney failure are faced with uncertainty regarding next steps, including not only when to start dialysis but whether they should start dialysis. For some individuals, there is concern that dialysis may provide minimal if any survival benefit because factors such as frailty1,2 and older age3 are associated with reduced survival with dialysis. Some may opt for conservative According to the Centers for Disease Control and Prevention (CDC), about 90% of people with chronic kidney disease don’t know they have it. As kidney disease progresses, symptoms may include Background The association between cardiac complications, such as heart failure (HF), and chronic kidney disease (CKD) is well known. In this study, we examined the effectiveness and safety of treatment with neprilysin inhibition in patients with advanced chronic kidney disease (stage 3b-4). Methods This single-centre, longitudinal, retrospective study of 31 months duration involved

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