Kidney Health

What to know about chronic kidney disease—and how to protect yourself

Kidney disease is common, but many people are unaware they have it. Diabetes and high blood pressure are the leading causes of kidney disease. Many other factors can change how well your kidneys work.

The good news is that with regular kidney screenings and maintaining a healthy lifestyle, you can help protect your kidney health and stay ahead of potential problems.

One Person Trims Another Person's Hair With Electric Clippers

The facts about chronic kidney disease and HIV

What do we know about HIV and chronic kidney disease?

Kidneys filter harmful waste and extra water from the blood, which becomes urine. They also release hormones that help manage blood pressure, create red blood cells, and keep bones strong
Damage to the kidneys can lead to kidney disease (renal disease). Kidney disease can also lead to kidney failure (end-stage renal disease) over time
You could be at an increased risk of kidney disease if you’ve experienced challenges keeping HIV under control, especially with hepatitis C virus coinfection
Your risk of developing kidney disease also gets higher as you get older. Diabetes and high blood pressure can also increase your risk

Things you can do to help

Taking care of your kidneys starts with practical, consistent steps. It’s about staying aware of your whole health—what you eat, the amount of fluids you drink, knowing the medications you’re taking and checking in with your care team.

What you can do:

Stay hydrated.

For early stages of kidney disease (stages 1 and 2), aim to drink around 64 ounces of water daily to help your kidneys. It’s important to note that fluid recommendations change in later stages of kidney disease (3, 4, and 5) or if you’re on dialysis, where limiting fluid intake may in fact be necessary. Always consult with your healthcare provider and dietitian to understand the best fluid intake for your individual kidney health.

Keep your numbers in check.

Manage blood pressure, cholesterol, and blood sugar with your care team’s guidance.

Choose kidney-friendly foods.

Eat more fruits, vegetables, and whole grains while watching salt and sugar intake.

Talk to your doctor about over-the-counter (OTC) medications.

Certain OTC medicines can be harmful to your kidneys, especially at higher doses or with long-term use.

Ask about regular screenings.

Talk to your doctor about checking your kidney function, especially if you live with diabetes or high blood pressure.

Hive Keeper—your guide to whole health

Print the physical health section, save it on your phone, or bring it along to your next care visit.

Download your Hive Keeper

Explore more health topics

Blood Sugar

Managing high blood sugar levels is an important part of your overall health. Take a look at some ways you can manage your levels.

Blood Pressure

High blood pressure, or hypertension, can impact your overall health. Learn about ways to help maintain healthy levels.

Cholesterol

See how managing your cholesterol can play a role in living well with HIV.

Images may include models used for illustrative purposes only. They are not individuals with HIV unless explicitly stated.