BP in a CKD Stage 3a

[Tony_Mimicted]

Hi, I'm just wondering as to what range of blood pressure a person at stage 3a CKD should have as my mothers blood pressure when going to clinic for monitoring hovers around 140/90. Her eGFR 3 years ago was 120 and now its around 60 any advice would be highly appreciated. She is turning 45 soon.

[Drawi]

Hi, I'm still very new to this chat but being with the AHA/ASA usually I know that they recommend that your BP be about 119/80 even though it says on their website 120/80. Just so people don't take advantage of it with CDK I'm not so sure myself but you can also check there website for more info. My one older brother was just diagnosed with kidney failure because of covid but thankfully he's going to be fine he was having dialysis treatments for how long he's going to have them no one knows; I hope this information helps you out.

[Tony_Mimicted in reply to Drawi]

Hi, thank you for the quick reply. I will raise this with the doctor as she doesnt seemed too concerned about her blood pressure being in the 140 range rather they think its the normal bp range for people her age so I'll see what she'll do about it and raise it with her. Once again thank you for replying

[Bassetmommer NKF Ambassador]

HI Tony, We do not diagnose here. But that BP seems high, especially the 90. You should talk with the doctor about that and see what can be done to lower it. High Blood pressure really causes issues and strain on the kidneys. And she is pretty young, so the age is not relevant. Big concern that her GFR dropped so many points in 3 years as well. Again, BP and kidneys.... there is much that can be done to help her though.

[Sophiebun11]

There is no set BP per stage.

I went down to stage 4 and my BP is 90/55, someone else's may be 150/86. Everyone with CKD doesn't have high BP.

Your mom should watch what she eats, stick to a low sodium diet and exercise or take meds if needed to keep her BP lower. 120/80 is ideal.

I wanted to donate blood to the Red Cross blood drive yesterday but was rejected because my BP was too low.

BP and type 2 diabetes are 2 of the main causes of kidney disease. If her BP comes down, her eGFR may go back up.

You are a thoughtful son to be concerned and try to help. If you have Amazon Prime you can read free books on your PC or phone or kindle. Otherwise, if you have a local library go there and check out Kidney Diet Cookbooks, Lowering BP cookbooks and books in that genre. Google has a lot of info as well.

Best of luck to you and your mom.

🐇❄️🐇❄️🐇❄️🐇❄️🐇❄️🐇

[Tony_Mimicted]

Hi Sophie, thank you for your thoughts. I'm feeling abit better right now and I'll do that

[Okiksaints1955]

The kidney (and the liver) are the filtering mechanisms of our body. Once they start to have issues, other organs are affected - including the heart. Other than that, diet, physical activities, stress level, etc. also are contributing factor. So - all these must be taken into consideration.

Improve those that can be controlled and the BP also improves. So this can offset the effect of CKD.

One thing that you can do is to take her BP at home same time twice a day everyday. And read the proper way of taking it. This way, the parameters are constant. I find that when I go to my Nephrologist and he takes my BP, it will always be higher. The travel activity, stress snd anticipation affects the readings.

Hope this helps.

[lowraind in reply to Okiksaints1955]

Along the same lines, regarding "The travel activity, stress and anticipation", I had decided that I was going to ask that my BP not be taken as soon as I sat down, since that usually results in a higher reading. The gal that took my information today did not take it right away and my BP was lower than it has been when taken right away. Also, she held my arm in the correct position. Many do not.

[Autumn47 in reply to lowraind]

I have high blood pressure at times. I take my pressure at home. I have noticed that BP taken in the office is often done incorrectly. I’ve had it taken with my arm up in the air and also my arm hanging straight down. That’s scary because if it isn’t taken correctly it probably is not going to be an accurate reading. I’m surprised that something that important cannot be done properly.

[lowraind in reply to Autumn47]

Because of this, I have decided that I am going to complain to the doctor when my bp is taken incorrectly. They record the pressure reading in my records, and that makes it look like my bp in higher than it really is.

[Tony_Mimicted]

Thank you, my mum has a really healthy diet and is now going sorely on plant based foods without any salt. She also has a moderate exercise everyday and is in really good shape however, my mother hates having her bp checked she says it makes her really stressed, but I will continue to see what I can do.

Her bp is hovering around 140 and she has quit salt ever since she found out she is hypertensive and is currently on the lowest dose of enalapril only 2.5mg.

What I'm worried about is whether this level of BP is what caused my mum's kidney function to decline or because of other reasons.

[Okiksaints1955 in reply to Tony_Mimicted]

Me Nephrologist did mention that it is the other way around - the kidney issue is what is causing all these other conditions. Including elevated BP.

True enough, after my transplant all my other conditions (correlated to the kidney started to go away). By BP average 110/70 and I can't remember the last time I was at this level. And no medication. Gout is out, purine level is normal. Potassium is normal. Even skin color has started to lighten. The new kidney is filtering better and my body is getting rid of all the toxins accumulated in 35 years of CKD.

Getting better everyday with guarded optimism.

Hope this helps.

[sparkie88]

Anything lesser than 140/90 is ok also depending on what she have but if she can keep it under 130/80 might help in some types of CKD. Ask your Dr for a more detailed answer.

[WYOAnne NKF Ambassador]

Overall, someone's BP should be less than 140/80. You do have to watch your sodium intake. Salt can raise your BP. Before my transplant I was on a "no added salt" diet. Also look at your canned goods. Seems like anything that is "prepared" has salt in it as a preservative. I like to make a lot of stir fry's with many vegies. Soy sauce however has a lot of sodium.Take a good look at the foods your Mother eats. You may find the culprit for her somewhat borderline BP

[Tony_Mimicted in reply to WYOAnne]

Hi, thanks for the reply but my mum really eats super healthy and there barely is any salt in her diet. What i'm worried about is whether such a bp level is what caused her to have such a low kidney function in such a short period of time

[WYOAnne NKF Ambassador]

That is something you need to ask her doctor. But high BP is one of the causes of kidney disease. Before my transplant I did go through a period of not having my BP under control. Now, so many years later, High BP has also caused scarring in my heart. So, she needs to make sure she takes the proper meds to keep her BP in a normal range for her kidneys and her heart.

[pheebee]

Hi, Tony, that does seem a little high, not massively so, but because of her CKD it could do with being a little lower (but not too low either).I hope you are ok, this must be stressful for you.

[Tony_Mimicted in reply to pheebee]

Thank you for your concern pheebee, i really am stressed out this few months and am trying to cope. I just hope the eGFR wont drop any further.

[pheebee in reply to Tony_Mimicted]

Poor you, that's completely understandable. It's really important that you look after yourself as well as your mum, you have to put yourself first to be able to care for someone. Make sure you get some time out for yourself.It may be that her BP is a little lower than the readings and that it just increases with the stress of having it checked, my mum used to be the exactly the same.

[Beachvibe]

Hi when I was at stage 3 I would often have high blood pressure as well which is what caused my kidney disease. 140/90 although not good was my normal before my kidney transplant. Blood pressure definitely needs to be under control.

[Tony_Mimicted in reply to Beachvibe]

Thank you for your reply Beachvibe. My mothers meds used to have more meds but has been reduced to only 2.5 mg of enalapril which is its lowest dose once a day

[Beachvibe in reply to Tony_Mimicted]

They have me on labetetrol and it seems to be working for me post transplant though.

[Tony_Mimicted in reply to Beachvibe]

How many mg are u taking and what's your current bp

[debsgm]

Blood pressure chart!

Blood pressure chart.

[Tony_Mimicted in reply to debsgm]

Thank you, this is a good reminder that 140 is still too high. Ill try and reduce her bp as she is quite a petite woman about 1.58 m in height and 54kg in weight and such a bp might be even worse for her

[debsgm in reply to Tony_Mimicted]

Note that the bp chart is not AGE related!

Bp does go up with age and you must make allowances for this.

Someone in their 60s/70s/80s will not have the same bp as they had in their 20/30s. It will always be higher due to age related factors within blood vessels. Eg more clogging up of arteries, arterioles, capillaries etc.

Regards

[Blackknight1989]

High BP is one of the main causes of CKD. 140/90 is too high. BP is my main trigger affecting my eGFR. If my BP is over 130/85 my eGFR will be 13/14. If controlled and BELOW 120/80 my eGFR will be 18-22. I can’t believe if you have a nephrologist worth their salt they would not be concerned with the BP at 140/90 and want to treat it immediately.