Understand the filtering units

Each kidney contains many small filtering units called nephrons. A filter lets waste and fluid pass into a tubule, which returns needed substances to the blood and helps form urine from what remains. This selective process maintains the conditions nerves and muscles need. Drinking extra water does not tell you how well those filters are working, and urine appearance alone cannot replace a kidney assessment.

Blood and urine tests give complementary information

A blood test measures creatinine, a waste product used to estimate the filtering rate, reported as eGFR. Urine testing can check for blood and for albumin, a protein; the albumin-to-creatinine ratio is often called ACR. NHS guidance uses these results together to assess kidney health and guide follow-up. Ask what each result means for you and when it should be repeated, rather than treating a single number as a diagnosis.

Manage the factors that affect the kidneys

Diabetes and high blood pressure are important reasons for kidney monitoring. Follow the care plan for those conditions and keep appointments. NHS prevention guidance also supports stopping smoking, balanced eating and regular activity. Take painkillers only as instructed; some anti-inflammatory medicines can harm kidneys when taken in excessive amounts or for too long. Ask a pharmacist if you are unsure what is suitable, particularly with an existing kidney condition.

Avoid a universal kidney diet

People with kidney disease may need individual advice about nutrients such as potassium or phosphate. That does not mean everyone should remove the same foods or buy the same mineral product. Before changing your diet, note the question you need answered: a test finding, a prescribed restriction or a symptom. Persistent swelling, blood in urine or unexplained changes in urination deserve medical assessment. Bring a medicine and supplement list so a clinician can assess the whole situation.

  • Understand your blood and urine results as a pair.
  • Ask whether nutrition advice applies to your stage and test results.
  • Check medicines and supplements with the appropriate professional.

Sources & further reading.

The explanation and practical suggestions above draw on these references.

Educational preview with no named medical reviewer. General education and specification-based product comparisons · Updated 2026-10-06. Personal medical questions belong with a qualified professional.