How to protect your kidneys from chronic failure?
American physician Dr. Keith Roach received a message from a reader suffering from prediabetes for type 2 diabetes, asking about the simplest ways to combat chronic kidney disease. Her test results showed a glomerular filtration rate of 52 and a creatinine level of 1.39 mg/dL, and she noted that she is taking Jardiance (empagliflozin).
In his response, Dr. Roach explained that chronic kidney disease is a very common condition, particularly among older adults, and is often caused by underlying diseases, with diabetes being the primary culprit. He emphasized that the scientific approach to combating the disease is far clearer than the claims promoted on websites advertising “easy home remedies” such as pumpkin seed oil or cinnamon to “cleanse” kidney filters. He considered the idea of relying on a single dietary supplement to treat the disease to be misleading, noting that supplements are not a core component of the established treatment regimen.
The doctor affirmed that the treatment protocol for diabetic patients with chronic kidney disease is highly evidence-based. The primary goal is to control glycated hemoglobin (HbA1c) levels, with a typical target range of 6.5% to 7.5%, although this target should be individualized based on the assessment of the treating endocrinologist.
- SGLT2 inhibitors, such as empagliflozin (Jardiance): Have proven effective in slowing the decline of kidney function in diabetic patients, and Dr. Roach endorsed the patient’s continuation of this medication.
- GLP-1 receptor agonists, such as semaglutide: Provide dual protection for both the heart and kidneys, along with the additional benefit of weight loss, which is important for the majority of type 2 diabetic patients.
Dr. Roach stressed that patients who already suffer from chronic kidney disease must undergo careful and regular follow-up with their physicians rather than relying on “quick fixes.” He clarified that consistently managing blood sugar and blood pressure remains the indispensable cornerstone of care, and that any complementary treatment should accompany these two objectives, not replace them.
