Blood pressure and proteinuria | |
 First-line drug: ACEIs or ARBs in patients with proteinuria or diabetic nephropathy. | |
 Aim: BP ≤130/80 mmHg or ≤ 125/75 mmHg if proteinuria > 1 g/24 h; Proteinuria < 500 mg/24 h. | |
Diabetes | |
 Use of antidiabetic drugs appropriate to renal function. | |
 Aim: Glycated Hb < 7%. | |
Dyslipidemia | |
 Statins prescription. | |
 Aim: LDL cholesterol < 2.6 mmol/l. | |
Anemia | |
 Iron supplementation; Erythropoietin prescription when appropriate. | |
 Aim: Hb 100–110 g/l. | |
Metabolic bone disease | |
 Low-phosphate diet, prescription of phosphate binders, and vitamin D analogs when appropriate. | |
 Aim: Phosphate < 1.8 mmol/l, Calcium 2.2–2.6 mmol/l, PTH 14–21 pmol/l. | |
Metabolic acidosis | |
 Prescribe oral sodium bicarbonate if serum bicarbonate < 22 mmol/l. | |
 Aim: Serum bicarbonate > 23 mmol/l. | |
Lifestyle changes | |
 Medical and dietitian counseling, prescription of low-sodium and low-phosphate diets, low-protein, low potassium diet when appropriate. | |
 Aim: smoking cessation, increase of physical activity, and adapted diet to CKD stages. |