Debbie M. replied:
There are 5 stages of kidney disease. In general, kidney disease occurs progressively, meaning it doesn't happen all at one time. Knowing that you may have stage 3 kidney disease is the first step for you to make some lifestyle changes that may help slow the progression and keep you feeling your best as long as possible.
In stage 3 CKD (chronic kidney disease) a GFR between 30-59 is considered moderate kidney damage resulting in a decline in the kidney function. Declining kidney function builds waste products that build up in the blood and causes uremia.
The likely causes are diabetes and high blood pressure, which accounts for 2/3 of most cases of kidney disease. Symptoms that could be present during stage 3 are fatigue, swelling, shortness of breath, urination changes, kidney pain, problems sleeping and a low red blood count known as anemia.
The National Kidney Foundation (NKF) recommends that all individuals with stage 3 have a nephrologist on their healthcare team. Usually the nephrologist comes as a referral from your primary healthcare provider. Together, you and your healthcare team work to develop a plan to maintain your current kidney function. Often a referral to a renal dietitian can assist you with learning the proper foods to eat that will help the kidneys not have to work so hard.
If you have diabetes, it is important to keep your blood glucose under control; if you have high blood pressure, keeping it under control is essential.