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You may have had your kidneys tested, but you may not actually know what the result means.
The number doctors often mention is creatinine.
But creatinine alone does not tell you enough about how well your kidneys are working. By the time it becomes clearly abnormal, some kidney function may already be lost.
So ask for these two things instead. They are usually cheap:
1. eGFR
This uses your creatinine level, along with things like your age and body size, to estimate how well your kidneys are filtering your blood.
This is a much more useful number for understanding your kidney function.
2. A urine test for protein
Healthy kidneys usually keep protein in your blood.
When protein starts leaking into your urine, it can be one of the earliest signs of kidney damage.
And it can happen long before you feel sick.
Some early signs can be very easy to miss:
› Urine that stays foamy instead of settling.
› Puffiness around your eyes when you wake up.
› Swollen ankles by the evening.
› Needing to urinate more at night than you used to.
› Itching without a rash.
Now, here is why I am talking about this on a nutrition page.
A lot of the nutrition advice given here can change when your kidneys are not working properly.
For example:
Potassium — which I recommend for blood pressure.
Magnesium — which I recommend for cramps.
High protein.
Generous amounts of salt.
These things can be perfectly fine for most people.
But they can be harmful for someone whose kidneys are not working properly.
And the important part is that you cannot always tell from the outside whether someone's kidneys are struggling.
So if you have ever been told that you have a kidney problem, or you have had diabetes or high blood pressure for years, do not automatically follow general nutrition advice.
Ask for these two things first:
Your eGFR.
And a urine test for protein.
That is the whole instruction.
This is one of the few situations where general advice from this page could genuinely work against you.
And I would rather tell you that clearly than have you find out the hard way.