CKD itself usually cannot be reversed or cured. The goal of treatment is generally to halt the progression of the disease, evidenced by a GFR that stabilizes and urine albumin that either stabilizes or decreases over time.
The primary way healthcare providers treat CKD is to control the influencing factors that lead to progression. These may include:
- Reducing blood pressure
- Controlling diabetes
- Modifying lifestyle/habits
In addition, medications to control cholesterol (linked to cardiovascular effects of CKD) as well as treat anemia (due to changes in erythropoietin secretion from the kidney) may be prescribed. In addition, calcium and/or vitamin D supplements may be recommended to help protect bones and treat hyperparathyroidism that may develop in the course of the disease.
For patients with end-stage kidney disease, additional treatments such as dialysis or kidney transplant may be required.