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ABP LIVE Doc Talk | Living with 10% Kidney Function: 5 Things Dialysis Patients Wish You Knew

Kidney disease often progresses silently, with diabetes and hypertension among its major causes. As kidney function declines, transplantation can offer eligible patients a better quality of life.

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Key points generated by AI, verified by newsroom
  • Severe kidney decline necessitates transplantation for improved quality of life.
  • Managing diabetes, blood pressure, lifestyle prevents severe kidney disease.
  • Organ donation is crucial for successful life-saving kidney transplants.

When kidney function declines to around 10%, the body can no longer remove waste products efficiently, maintain fluid balance, or regulate essential minerals. Without prompt medical treatment, toxic substances build up quickly and may cause serious, potentially life-threatening complications. At that point, a Kidney Transplantation Procedure (KTP) is viewed as the most effective long-term option, giving eligible patients the chance to regain kidney function and substantially improve their quality of life.

Kidney disease rarely appears suddenly. In most cases, it develops slowly over many years, often because of diabetes or high blood pressure that has not been well controlled. Excess blood sugar can injure the kidneys’ filtering units; high blood pressure, meanwhile, damages the blood vessels that help the kidneys function. Autoimmune disorders, repeated kidney infections, inherited diseases such as polycystic kidney disease, and prolonged use of certain kidney-damaging medications can also contribute.

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Tips For Managing Kidney Health

  • Adopt a Kidney-Friendly Diet: Eat a balanced diet suited to your stage of kidney disease. Cutting back on excess sodium, processed foods, and unhealthy fats may help manage blood pressure and lessen additional strain on the kidneys.
  • Keep Diabetes and Blood Pressure Under Control: Managing blood sugar and blood pressure effectively can slow disease progression and help protect the kidney function that remains.
  • Stay Consistent with Prescribed Medications: Take prescribed medications as directed, attend regular consultations, and complete routine monitoring. These steps help identify complications early and support effective disease management.
  • Maintain an Active and Healthy Lifestyle: Regular, moderate physical activity, a healthy weight, avoiding tobacco, and limiting alcohol all make important contributions to kidney and cardiovascular health.
  • Understand Your Transplant Options Early: People with advanced kidney disease may benefit from a transplant. Learning about both living and deceased organ donation can help patients and families make informed decisions and avoid delays in accessing potentially life-saving treatment.

Suggested Treatment Options

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For patients with end-stage kidney disease, the Kidney Transplantation Procedure (KTP) is widely considered the gold standard of treatment. Replacing the failed kidney with a healthy donor organ can restore near-normal kidney function, extend long-term survival, and help patients regain a more active, independent life. A successful transplant often brings better health outcomes than long-term dialysis, along with fewer dietary and fluid restrictions and a significantly higher quality of life.

However, the success of transplantation depends on the availability of suitable donor organs. This makes organ donation a critical component of the transplant ecosystem. Every individual who chooses to pledge their organs has the potential to save or dramatically improve multiple lives, including those of patients awaiting a kidney transplant. Increasing awareness about both living and deceased organ donation can help bridge the gap between the growing number of patients on transplant waiting lists and the limited availability of donor organs.

As of March 2026, the data from the National Organ and Tissue Transplant Organization (NOTTO) shows that about 89,839 people in India are waiting for a transplant that can save their lives. If we can get more people to talk about organ donation and support it, we can help make sure that people who need a transplant can get one and have a life.

It is still important to try to prevent kidney disease through early detection, healthy life choices, and effective management of diabetes and hypertension remains essential, organ donation continues to be one of the most meaningful ways to give patients with end-stage kidney disease a second chance at life. On this Organ Donation Day, we should try to get more people to learn about organ donation, talk about it, and donate their organs so we can help people who need a transplant.

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Frequently Asked Questions

What are the common causes of kidney disease?

Kidney disease often develops slowly due to uncontrolled diabetes or high blood pressure. Other contributing factors include autoimmune disorders, infections, inherited diseases, and prolonged use of certain medications.

When is a Kidney Transplantation Procedure (KTP) recommended?

A KTP is recommended when kidney function declines to about 10%. At this point, the body struggles to remove waste, maintain fluid balance, or regulate essential minerals effectively.

What are the benefits of a kidney transplant?

A successful kidney transplant can restore near-normal kidney function, extend long-term survival, and significantly improve a patient's quality of life. It often provides better health outcomes than long-term dialysis.

Why is organ donation important for kidney disease patients?

Organ donation is crucial because the success of kidney transplantation relies on suitable donor organs. Increasing awareness helps bridge the gap between the many patients awaiting transplants and the limited availability of organs.

About the author Dr Neha Singh

Dr Neha Singh is a Senior Consultant, Nephrologist, and Renal Transplant Physician at Manipal Hospital Gurugram. She has over 13 years of experience and holds an MBBS, an MD, and a DM in Nephrology. Her areas of expertise include general nephrology, renal transplantation, critical care nephrology, and glomerular diseases, providing comprehensive kidney care.

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