Stage 3b

[cj2022]

Anyone have stage 3b? Does it always progress to dialysis? Tks

[nonna70]

I've been stage 3B for several years although my last reading was 3A. Many of us are 3B; it does not have to go to dialysis.

[cj2022 in reply to nonna70]

Thank you

[iCat]

Just keep a kidney protective diet – ie zero salt, low protein, low sugar, low potassium, low phosphorus. Which means no readymade meals, processed and junk foods. Drinking enough still water.

Dapagliflozin works well for my husband, he had 3b now he has 3a, fingers crossed.

And check your other meds…. Some are seriously nephrotoxic. Say absolutely no to Ibuprofen for example, and some water tablets are bad, as well as heart meds. My husband had to change some (after me initiating it – unfortunately the doctors in the UK do not care much till stage 4-5….) Read proper medical research articles on PubMed etc. Good luck and best of health!

[Skip56]

Mon mari est au 3 b depuis 8 ans son état est stable avec les recommandations du néphrologue,croisons s les doigts que son état ne s aggrave pas

[userotc]

See link below incl uding statement“ With treatment and healthy life changes, many people in Stage 3 do not move to Stage 4 or Stage 5”. Most think that treatment is basically drugs and a renal diet but my mum (stage 3 for 14y) adopts Nutritional Therapy instead.

kidneyfund.org/kidney-disea...

[Badger2024]

Zero salt not really possible. My nephrologist says maximum 1.5-2 grams a day but less is better. I’m stage 3. Egfr a few days ago was 46. My nephrologist told me that my kidneys have now stabilised. I asked her about 3a vs 3b. She said that my disease is only mild and that stage 3 is from eGFR 30-60. As my labs show that my potassium and phosphates are within normal levels she said that I don’t need to restrict them. Only sodium. Also to drink 2 litres of water a day. For general health low-sugar is always a good thing but the occasional celebration is absolutely fine. A regular amount of protein is also fine at stage 3. Just not high. I try to have about 70-80 grams a day. Sometimes less. Never more. A good idea to not have much red meat. That includes pork. I actually quit red meat completely when I found out that my kidneys were struggling even though my nephrologist said that a lean piece of red meat once a week is totally fine

[Darlenia in reply to Badger2024]

Yes! Appreciate your insights. Consulting one's labs and seeking professional direction is very important regarding diet. We are all different and have different needs. And it's important for progress to be checked regularly.

[purifire7777]

I have been stage 3 and with a change in diet I went back to stage 2. Everything changes like the mighty sea. Watch potassium and phosphorus levels. Eat more of a Mediterranean Diet. It is written that fruit that contains seeds is for healing. Apple a day does keep the doctor away. Organic apples not sprayed. Cantaloupe, honeydew melons, water melons, strawberries, blueberries and such.

I choose to change my eating and exercising to stay away from dialysis.

Bless you,

Joyce

[Nana16]

There are many variables that effect your kidneys, and whether or not you will ever reach stage 5. Your age, the reason your kidneys are not working well, your general health, and yes, your diet is important. I was diagnosed at stage 3 16 years ago, at the age of 62. I've followed my primary doctor's guidelines for me, which include drinking plenty of water. I drink 80-95 ounces of water a day, which is about 2 1/2 liters. The nephrologist saw me only twice to do testing (blood work, 24 hour urine collection, ultrasound of kidneys) and make the diagnosis. His instructions were to never take any NSAIDs of any kind again, since that is what he thinks caused my kidney damage. He told me to drink plenty of water, watch sodium (which I was already doing) and not overdo it on potassium. He said red meat was okay for me in moderation. I don't eat beef, but I do eat one serving of very lean pork about once in a week or two. I am still in stage 3, though my eGFR has gone from 48 at diagnosis to between 35 and 32 over the last 3 years. I'm 77 (will soon be 78), and I have other health conditions, but I expect that my kidneys will last as long as I need them if I can stay on the minimal amounts of medication I now take, and if my compensated congestive heart failure doesn't decompensate too quickly.

Do your research, and do the best you can regarding diet and avoiding harmful medications. And don't spend too much time worrying once you get through the shock of finding out your kidneys aren't working quite as well as they should. All the best to you!

[RhenDutchess123]

It depends on what is causing your kidneys disfunction...sometimes following a kidney diet can slow it down...Be careful with all medications you may be on...find out if they are kidney friendly...Be careful with salt and stop drinking Cola drinks if you do...Never take Aspirin, use tylenol and work with your Doctor on any other suggestions

[FelineFandom146]

Hello: No, not always but you have to be very protective of what you put into your body. I was at Stage 3A for nearly twenty years then to Stage 3B for about ten years until one weak moment when I had a very painful UTI in 2020. My PCP put me on antibiotic, anti-inflammatory and anti-spasmodic, a cocktail of meds that no one with CKD should ever take my Nephro doc informed me afterwards. After that My eGFR dropped to Stage 4 for a couple of years and now for the last year I'm in Stage 5 with eGFR of 10.9 but no clinical or symptomatic need to rush into dialysis or transplant, yet. Depending on what is causing your CKD depends on what will happen. I have ADPKD and thought one foolish Nephrologist informed me that since "Your grandmother and mother" didn't need dialysis/transplant you won't either," was wrong. I'm heading in that direction quickly. But no you may never get to Kidney Failure but you must be careful. I won't repeat what others said about sodium et al. Watch your diet, meds you are given and drink lots of water. Eat a healthy diet and exercise. That is where I am now. I've also gone Whole Food Plant Based Vegan. No meats, no dairy, no oils, no nuts. If I can delay progression with diet, it's worth a shot. Good luck. Run everything by your Nephrologist, Dietitian, if you have one and research. Speak with your Pharmacist. They know more about meds than our physicians do and remember this: it is your body. No one knows it better than you do. Physicians don't know everything and do make mistakes that you'll pay for.