Manitoba Renal Program Chronic Kidney Disease Stages

*GFR = glomerular filtration rate For more information:

A test that shows how well the kidneys are working. www.kidneyhealth.ca
(The higher the number the better your kidneys are working)

PEOPLE AT RISK: need yearly screening

w Diabetes
Stage 1
w High blood pressure
Normal kidney function w Heart and blood vessel disease
with risk factors w Family history of kidney disease
(measured by GFR*, w Immune disorders such as lupus
blood & urine tests) w Heavy use of pain medication

90
Stage 2 STAGES 1, 2, 3, 4, 5
Declining GFR to w Follow a healthy lifestyle:
60ml/min/1.73m2 • Healthy eating
(mild kidney damage)
Glomerular Filtration Rate (ml/min)

• Be physically active
• Stop smoking
60 • Limit alcohol intake
Stage 3
w Take medications as prescribed
GFR: 30 – 60 ml/
min/1.73m2 w Aim for a healthy weight
(moderate kidney w Avoid anti-inflammatory pain medications e.g. ibuprofen,
damage) naproxen, high-dose ASA (more than 325 mg per day)
w Maintain good blood pressure (less then 130/80)
30
Stage 4 w If you have diabetes maintain good blood sugar *A1c less
GFR below 30 ml/ then 7% (blood test done at a lab)
min/1.73m2
(severe kidney damage) STAGES 4, 5
w Same as above
15 w Follow a prescribed kidney friendly diet
Stage 5
GFR below 15 ml/
min/1.73m2 STAGE 5
(kidney failure) w Same as above
w May require the following:
0
A. Kidney replacement therapy:
• Home dialysis (Peritoneal Dialysis OR Hemodialysis)
• In Centre Hemodialysis
• Kidney Transplant
OR
B. End-of-life care (no dialysis or transplant)