Chronic Kidney Disease is silent because it is possibleto lose 90% of kidney function before even feeling sick.Doctors use three simple tests to assess your kidney function and help plantreatment.
Blood pressure test
Blood pressure can be measured in a variety of ways butthe standard method is using an arm cuff and a stethoscope.It is recorded as two numbers e.g. 130/70. The ﬁrst numberis the systolic reading. This is the pressure in the arteries astheheart pumps out blood during a beat. The second numberis the diastolic reading, which is the pressure of the bloodin the arteries when theheart relaxes before the next beat.Sinceblood pressure varies from person to personand during the day, there are no ﬁxed rules about whatblood pressure reading is normal. These ﬁgures can bea useful guide:– Normal blood pressure: less than 120/80– High Normal: 120-139/80-89– High: more than 140/90
Proteinuria is the term used to describe excessiveamounts ofprotein in theurine. Normally, protein is notremoved from the blood when the kidneys ﬁlter waste fromthe blood. However, when the kidneys are damaged proteinleaks through the damaged ﬁlters and appears in the urine.It can be detected in theurine using a simple dipstick.The appearance of protein in theurine may be the ﬁrstsign of an otherwise silent kidney condition.Protein leaks into theurine in very small or ‘micro’amounts. The two commonest proteins that appear intheurine when this happens are albumin, an importantbloodprotein, and globulin, which is largely made upofantibody proteins.Your microalbumin level can be measured by a specialurine test either on a singleurine sample or timedurinecollection. A microalbumin test should be done at leastonce a year if you have diabetes.
Testing for kidney disease