By Gary Tollin, DO

Family Medicine, Primary PartnerCare Physicians, PLLC

Date:  July 21, 2026

Chronic kidney disease, or CKD, occurs when the kidneys are damaged and cannot filter blood as well as they should. In its initial stages, CKD may have few or no symptoms, so testing is important for people with risk factors.

Adults over fifty should pay attention to kidney health, especially if they have diabetes, high blood pressure, obesity, heart disease, a history of smoking, or a family history of kidney failure. Diabetes and high blood pressure are major CKD risk factors.
 

1. Ask about kidney screening

The two tests commonly used to check for CKD are an eGFR blood test and a uACR urine test.

An eGFR shows how well the kidneys are currently filtering blood.

A uACR urine test checks for albumin, a protein that can appear in urine when kidneys are damaged.

These tests are widely available, and people with risk factors should ask their health care provider how often they need them.
 

2. Closely monitor diabetes

Diabetes can damage kidneys over time. CKD affects about 1 in 3 adults with diabetes.

Getting evaluated for A1C is critical as well. This test measures your blood sugar levels over the past 3 months. Regular tests, if spotted, can lead to steps toward reversal of prediabetes and prevent or delay type 2 diabetes.

People with diabetes should keep regular appointments, follow their treatment plan, and ask whether annual kidney testing is recommended.
 

3. Blood pressure management

High blood pressure can damage kidney blood vessels and increase the risk of CKD. Adults with high blood pressure have a higher CKD risk than those without it.

Blood pressure checks, medication such as ACE Inhibitors, and lifestyle changes can help reduce kidney strain and increase protection.
 

4. Review medications

Medicines and supplements, such as NSAIDs, can affect kidney function, especially for people with existing kidney disease or multiple health conditions.

Bring a list of prescriptions, over-the-counter medicines, pain relievers, vitamins, and supplements to routine visits. Ask whether any should be adjusted based on kidney health.
 

5. Keep routine wellness visits

CKD is easier to detect when lab work and checkups happen regularly. People with diabetes, high blood pressure, cardiovascular disease, or a family history of kidney failure are considered at higher risk and may need screening.

Regular visits also help track blood pressure, blood sugar, medication use, and changes in kidney function.