✅ Safe Foods:
Cabbage · Cauliflower · Green beans · Garlic · Onion · Lettuce · Radish
Apple · Blueberry · Strawberry · Grapes · Pineapple · Cranberry
Egg whites · Skinless chicken · White fish · White rice · White bread · Pasta

❌ Limit or Avoid:
Bananas · Oranges · Potatoes · Tomatoes · Spinach · Avocado
Nuts · Seeds · Dairy (large amounts) · Dark colas · Processed meats · Salt substitutes

📊 Daily Targets:
🧂 Sodium: <2,300 mg/day
🥩 Protein: 0.6–0.8 g/kg body weight/day
🦴 Phosphorus: <800 mg/day
⚗️ Potassium: restrict if levels >5.0 mEq/L

General target: 1.5–2 liters/day (unless told otherwise)

⚠️ Signs of fluid retention — call doctor:
• Swelling in legs, ankles, or face
• Sudden weight gain >1 kg/day
• Shortness of breath at rest
• Puffiness around eyes in morning

💡 Remember to count: Soups · Ice cream · Gelatin · Juice · Tea · Coffee

Test	Normal	CKD Target
Creatinine (men)	0.7–1.3 mg/dL	Monitor trend
Creatinine (women)	0.5–1.1 mg/dL	Monitor trend
eGFR	>60	Stage 3: 30–59
ACR (urine)	<30 mg/g	<30 mg/g
Potassium	3.5–5.0 mEq/L	3.5–5.0
Phosphorus	2.5–4.5 mg/dL	2.5–4.5
Bicarbonate	22–29 mEq/L	>22
Albumin	3.5–5.0 g/dL	>4.0
Hemoglobin (men)	13.5–17.5	>11 g/dL
Hemoglobin (women)	12.0–15.5	>11 g/dL
PTH	15–65 pg/mL	<2x upper limit
Vitamin D	30–100 ng/mL	>30 ng/mL
Blood Pressure	<120/80	<130/80

❌ Always Avoid:
• NSAIDs: Ibuprofen · Naproxen · Diclofenac · Aspirin (high dose)
• High-dose Vitamin C (>500mg/day)
• Herbal supplements without nephrologist approval
• Contrast dye — always tell radiologist about CKD
• Certain antibiotics need dose adjustment

✅ Common CKD Medications:
• ACE inhibitors or ARBs — protect kidneys, reduce proteinuria
• Diuretics — reduce fluid retention
• Phosphate binders — control phosphorus
• Erythropoietin (ESA) — treat anemia
• Vitamin D supplements — bone protection
• Sodium bicarbonate — treat acidosis

💡 Always inform ALL doctors and pharmacists you have CKD Stage 3

🚨 Call Doctor Immediately:
🔴 Sudden decrease in urination
🔴 Severe swelling in legs, feet, or face
🔴 Shortness of breath at rest
🔴 Chest pain or pressure
🔴 Confusion or difficulty concentrating
🔴 Severe nausea or vomiting
🔴 Blood in urine (red or dark brown)
🔴 BP above 160/100 mmHg

⚠️ Monitor Closely:
🟡 Increasing fatigue or weakness
🟡 Loss of appetite
🟡 Muscle cramps (especially at night)
🟡 Itchy skin
🟡 Foamy or bubbly urine
🟡 Weight gain >1kg in a day

✅ Recommended:
• Walking 30 min, 5 days/week
• Swimming or cycling (low impact)
• Maintain healthy weight (BMI 18.5–24.9)
• Sleep 7–8 hours per night
• Stress management: meditation, breathing exercises

❌ Avoid:
• Heavy weightlifting without medical clearance
• Smoking — accelerates kidney decline
• Alcohol >1 drink/day
• Dehydration during exercise

📅 Follow-up Schedule:
• Nephrologist: every 3 months
• Labs (creatinine, eGFR, ACR): every 3 months
• Eye exam: annually
• Heart/cardiovascular check: annually
• Vaccinations: Flu (yearly) · Pneumococcal · Hepatitis B

Target for CKD: Below 130/80 mmHg

Category	Systolic	Diastolic
Normal	<120	<80
Elevated	120–129	<80
High Stage 1	130–139	80–89
High Stage 2	≥140	≥90
Crisis	>180	>120

Tips to lower BP:
• Reduce salt to <2,300 mg/day
• Exercise regularly
• Maintain healthy weight
• Limit alcohol · Stop smoking
• Take medications as prescribed
• Monitor at same time daily

Stage	eGFR	Description
G1	≥90	Normal function
G2	60–89	Mildly decreased
G3a	45–59	Mildly-moderately decreased
G3b	30–44	Moderately-severely decreased
G4	15–29	Severely decreased
G5	<15	Kidney failure

Albuminuria Categories (ACR):

Category	ACR mg/g
A1 Normal	<30
A2 Moderately elevated	30–300
A3 Severely elevated	>300

💡 Use the 🧮 CKD Calc tab to calculate your current stage from your lab values.

Türkçe	English	Unit
Kreatinin	Creatinine	mg/dL
GFR / eGFR	eGFR	mL/min
Üre	Urea / BUN	mg/dL
Ürik Asit	Uric Acid	mg/dL
İdrar Albumin/Kreatinin	Urine ACR	mg/g
Mikroalbüminüri	Microalbuminuria	mg/L
Sistatin C	Cystatin C	mg/L

Türkçe	English	Unit
Sodyum	Sodium	mEq/L
Potasyum	Potassium	mEq/L
Klor	Chloride	mEq/L
Bikarbonat / HCO3	Bicarbonate	mEq/L
Kalsiyum	Calcium	mg/dL
Fosfor	Phosphorus	mg/dL
Magnezyum	Magnesium	mg/dL

Türkçe	English	Unit
Hemoglobin / Hb	Hemoglobin	g/dL
Hematokrit / Hct	Hematocrit	%
Eritrosit / RBC	Red Blood Cells	M/µL
Lökosit / WBC	White Blood Cells	K/µL
Trombosit / PLT	Platelets	K/µL
MCV	Mean Cell Volume	fL
Demir	Iron / Fe	µg/dL
Demir Bağlama Kapasitesi	TIBC	µg/dL
Ferritin	Ferritin	ng/mL

Türkçe	English	Unit
Albümin	Albumin	g/dL
Total Protein	Total Protein	g/dL
CRP	C-Reactive Protein	mg/L
Sedimentasyon / ESR	ESR	mm/hr
Prokalsitonin	Procalcitonin	ng/mL

Türkçe	English	Unit
Açlık Kan Şekeri	Fasting Blood Sugar	mg/dL
Tokluk Kan Şekeri	Postprandial Glucose	mg/dL
HbA1c / Glikozillenmiş Hb	HbA1c	%
İnsülin	Insulin	µIU/mL

Türkçe	English	Unit
Total Kolesterol	Total Cholesterol	mg/dL
Trigliserit	Triglycerides	mg/dL
HDL Kolesterol	HDL Cholesterol	mg/dL
LDL Kolesterol	LDL Cholesterol	mg/dL
VLDL Kolesterol	VLDL Cholesterol	mg/dL

Türkçe	English	Unit
ALT / SGPT	ALT (Liver enzyme)	U/L
AST / SGOT	AST (Liver enzyme)	U/L
ALP	Alkaline Phosphatase	U/L
GGT	Gamma-GT	U/L
Total Bilirubin	Total Bilirubin	mg/dL
Direkt Bilirubin	Direct Bilirubin	mg/dL

Türkçe	English	Unit
TSH	TSH	mIU/L
Serbest T3 / fT3	Free T3	pg/mL
Serbest T4 / fT4	Free T4	ng/dL
Anti-TPO	Anti-TPO Antibody	IU/mL

Türkçe	English	Unit
PTH / Paratiroit Hormonu	Parathyroid Hormone	pg/mL
D Vitamini / 25-OH Vit D	Vitamin D	ng/mL
B12 Vitamini	Vitamin B12	pg/mL
Folik Asit	Folic Acid	ng/mL

Türkçe	English
İdrar Rengi	Urine Color
Dansite / Özgül Ağırlık	Specific Gravity
pH	pH
Protein (İdrarda)	Urine Protein
Glikoz (İdrarda)	Urine Glucose
Eritrosit (İdrarda)	RBC in Urine
Lökosit (İdrarda)	WBC in Urine
Nitrit	Nitrite
Keton	Ketones