gfr declining

[Savreen1]

Again my kidney function decline from 25 to 22. My nephrologist suggest me stop taking blood pressure medication( telmisartan 40 mg) so I stopped from two day and checking regular bp under control. Any advise please how can I manage my gfr. Next labs in 6 weeks. Thanks heaps

[LisaSnow]

Stay hydrated!

[Savreen1 in reply to LisaSnow]

drinking 2 litres water everyday

[snowbound]

Hang in there! Drinking water helps also getting extra rest helps--stress is hard on the kidneys. Also you can plateau for a long time at different levels. I was at 16 gfr for a long time and then was at 10 gfr for a long time before going back and forth between 9 gfr and 10 gfr.

[Ziggydoodah]

Check your diet. Bassetmommer has managed to keep their gfr levels stable for a long period of time. Im sure other have too. Good luck

[Savreen1 in reply to Ziggydoodah]

thanks for your reply. As I’m vegetarian so eat oats in the mng then fruits and salad. From last few months I eat junk food too much so may be

[PecanSandie]

Why were you originally prescribed BP medication?

[Bassetmommer NKF Ambassador]

Why would your doctor put you on a BP med and then tell you to stop it without a new med. Controlling BP is critical for kidney function. And with a declining GFR, you should really investigate why they took you off of it without a replacement. Even if you BP seems ok, it can vacillate during the day putting pressure on the kidneys, which is terrible for them at the stage you are at. Telmisartan was taken off the market...read below. Follow up with the Doc asap if your BP goes up at all.

Why was telmisartan discontinued?

The product is being recalled due to a market complaint received which stated that one bottle labelled as 30-count Telmisartan Tablets, USP, 20 mg incorrectly contained 30 tablets of Telmisartan Tablets, USP, 40mg.Mar 24, 2021

[Savreen1 in reply to Bassetmommer]

I had preclampsia in 2020 during pregnancy because of high blood pressure. So they recommended me take one tablet at night time but due to decling my function my nephrologist said may be cause of bp medication. My others test perfectly fine.

[jodaer in reply to Savreen1]

Bassetmommer, this was in 2021, almost 2 years ago. I don't think it's still off the market. I'm on it and just got a refill

[RhenDutchess123]

Remove salt from your diet as much as possible

[Live_Positive]

reason doctor stopped your med was due to the potassium level. Losartan family drug coz potassium to go high. There are many other medication doctor can give you to control your BP. He is doing right. Potassium is very critical to keep in control to prevent from heart attack.

please talk to your doctor. Water intake must be as per doc advice. Excessive or less water can impact your kidney function.

In simple terms, Only way to delay the progression is to avoid putting kidney to do more work. If you do not eat high protein like meat, kidney will have to work less, that will extend kidney life.

Hope it make sense.

[Savreen1 in reply to Live_Positive]

hi, thanks for reply. But my potassium and sodium under control. Not any other issues. Enjoying my life normal with my little one and want to see her grow

[Darlenia in reply to Savreen1]

The blood pressure drug you were taking is partially a diuretic. Since your blood pressure seems okay, I suspect that drug was making your kidneys work too hard to remove water and toxins when they didn't need too. Diuretics lower blood volume which disrupts the filtration process and can injure kidneys, usually not long term.

I had preclampsia with my first pregnancy and wasn't prescribed anything since my blood pressure reverted back to normal rather quickly. I lead a normal life and eat a normal diet. I took out sodium a few years ago which was disastrous - I passed out in public. So, before you do anything regarding your diet, please make sure to check with your nephrologist and labs. You likely will won't need to make many, if any, modifications.

[Live_Positive]

also , low BP can cause kidney damage .

[ling in reply to Live_Positive]

How does low BP cause kidney damage?

Thank you

[LisaSnow]

There are many different etiology and "causes" of kidney diseases. Do you know what yours is? The medications you are given are not just for delaying kidney decline, but also to control and treat the "parent disease". None of us can give you specific and accurate medical advice. Regarding limiting salt and protein intake, they also vary in degrees depending on the etiology of why your kidneys declined in function in the first place. I would ask your nephrologist the same question and follow the specific treatment protocol from him or her, and ask for referral to see a dietitian nephrologist recommends to you for consultation.

[Onebadkitty]

For me I have been able to get my gfr up to 30 (two weeks ago) from 22 at initial diagnosis last November. I attribute this most of all to my change in diet. I was able to find a dietician who is listed with the American Kidney Foundation and I was surprised to see that she is the ONLY one in my area! Thank goodness for this woman! It is a process. My primary doc and my nephrologist both initially told me they did not expect much improvement in my numbers and that I'd be looking at dialysis sooner than later. I am now cautiously optimistic. Hope that helps. Knowledge is power!