19/11/2025
In my journey as a consultant pharmacist and health coach, I’ve seen firsthand how much kidney health shapes outcomes. Chronic kidney disease (CKD) is notorious as a silent disease, often showing no symptoms until as much as 90% of kidney function is lost.
In Australia, approximately 1 in 10 adults show signs of CKD, and the prevalence is even higher among First Nations peoples, with some estimates suggesting 1 in 5 adults over 18 years display indicators of kidney damage.
Advanced CKD can present with signs and symptoms including hypertension, pruritis (itchiness), nocturia (frequent urination at night), lethargy, nausea and vomiting, malaise, anorexia, restless legs, haematuria (blood in urine), and dyspnoea (shortness of breath).
However, most people remain asymptomatic in early stages, which is why laboratory monitoring is crucial.
Two key tests provide early insights into kidney healt
eGFR (estimated glomerular filtration rate) measures how well your kidneys filter blood;
uACR (urine albumin-to-creatinine ratio) reveals early damage by detecting protein leaks.
Together, they’re your early warning system—especially since kidney disease often shows no symptoms until it’s advanced.
Why does this matter? Because early detection = better outcomes. People with early-stage CKD who know their numbers are empowered to adjust lifestyle, medications, and diet before irreversible damage.
Here’s the professional truth I share: ask your doctor —“What are my eGFR and uACR results?
What do they mean for me?” Don’t wait for symptoms. Your kidneys work silently every day for you. Let's be proactive in protecting these unsung heroes.
Pro Tip: Make a habit of knowing your kidney markers—knowledge is power.
You are the CEO of your health. Own your numbers and your future.
Want more info on how to protect your kidneys? Read https://theenlightenedpharmacist.com/kidney/
Ref: Chronic Kidney Disease (CKD) Management in Primary Care (5th edition). Kidney Health Australia, Melbourne, 2024.