Our compassionate physicians are experienced with all aspects and stages of kidney disease, aggressively treating these illnesses and offering realistic treatment plans for underlying causes.
Our goal is to slow the progression of kidney disease and help our patients live longer, more satisfying lives.
Commonwealth Nephrology Associates has locations throughout Massachusetts. To find out more and schedule an appointment at the location nearest you, call us at today. The nephrologists at Commonwealth Nephrology Associates are experts in all types of in-center and home dialysis.
Our kidney specialists focus on treating both common and complex kidney conditions including chronic kidney disease , glomerulonephritis, hypertension , kidney stones , electrolyte abnormalities , and end-stage renal disease. Tagged With: chronic kidney disease , kidney disease , Kidney Failure. Meet the Physicians D. Bora Hazar, MD J. If you already have kidney disease, controlling your blood pressure can help prevent more damage to your kidneys. Your doctor may ask you to check your blood pressure at home with a digital blood pressure monitor.
Many pharmacies and grocery stores have in-store monitors that you can use for free. You can also get a monitor from your local drug store, hospital, clinic or online. Your doctor can help you find a monitor that is right for you and can show you how to use it. This means that your systolic pressure should be mm Hg or less and your diastolic pressure should be 80 mm Hg or less.
If either number is too high, your blood pressure is high. Ask your doctor what your blood pressure should be and how often you should have it checked or check it on your own. What you eat and drink can change your blood pressure. Choose foods that are low in sodium salt and fat to help keep your blood pressure in a healthy range. Use these tips to get started:.
A dietitian can help you create a plan for a heart-healthy diet to control your blood pressure. Medicare and private insurance plans may help pay for dietitian visits.
Ask your doctor to help you find a dietitian in your area. Having both diabetes and high blood pressure can make you more likely to get kidney disease. If you have diabetes, work with your doctor to manage it. Learn more about diabetes and kidney disease. Trials have demonstrated improved hour BP control in patients administering CCBs in the evening rather than in the morning. If patients are on more than two antihypertensive agents, it may be appropriate to administer two agents in the morning and the additional agents in the evening.
Lifestyle Modification: Increased physical activity, weight loss, and dietary modifications are recommended for all patients with HTN. The Dietary Approaches to Stop Hypertension DASH diet emphasizes an increased consumption of fruits and vegetables, inclusion of low-fat dairy and lean protein, and a restriction of saturated fats; this meal plan has been shown to significantly lower systolic BP nearly equivalent to the reduction achieved by antihypertensive monotherapy.
Agents that reduce proteinuria in addition to BP are generally first line, but patients may often require three to four antihypertensive agents in order to achieve their goals and minimize their risk for CVD and ESRD. In addition, healthy lifestyle modifications should always be considered as a vital component of any antihypertensive therapy regimen.
Prevalence of chronic kidney disease in the United States. Am J Kidney Dis. Association of estimated glomerular filtration rate and albuminuria with all-cause and cardiovascular mortality in general population cohorts: a collaborative meta-analysis.
The case for chronic kidney disease, diabetes mellitus, and myocardial infarction being equivalent risk factors for cardiovascular mortality inpatients older than 65 years. Am J Cardiol. Hypertension in cardiovascular and kidney disease. Cardiorenal Med. Segura J, Ruilope L.
Hypertension in moderate-to-severe nondiabetic CKD patients. Adv Chronic Kidney Dis. National Kidney Foundation. American Diabetes Association. Standards of medical care in diabetes— Diabetes Care. Preserving renal function in adults with hypertension and diabetes: a consensus approach.
Keane WF, Eknoyan G. Role of abnormally high transmural pressure in the permselectivity defect of glomerular capillary wall: a study in early passive Heymann nephritis.
Circ Res. Systematic review: blood pressure target in chronic kidney disease and proteinuria as an effect modifier. Ann Intern Med. Hypertension, also called high blood pressure, is blood pressure that is higher than normal. Uncontrolled high blood pressure is the second leading cause of kidney failure in the US. Severe high blood pressure can harm kidney function over a relatively short period of time. Even mild forms of high blood pressure can damage kidneys over several years.
High blood pressure can constrict and narrow the blood vessels in your kidneys, which reduces blood flow and stops the kidneys from working well.
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