Understanding Chronic Kidney Disease (CKD) in the Indian Context
Chronic kidney disease affects nearly 17% of adults in India, with higher prevalence in Telangana due to diabetes, hypertension, and late referrals. At Ajuda Hospitals, we recognise that CKD often advances silently. We combine NABH-aligned safety protocols with personalised renal dashboards so patients across HITEC City, Kukatpally, and Secunderabad receive consistent monitoring and support.
Indian patients tend to progress faster than Western cohorts because of high-sodium diets, erratic work hours, and limited awareness about early testing. Our CKD clinic focuses on stage-wise interventions—optimising sugars and blood pressure, scheduling vaccines, and guarding against infections—to preserve kidney function for longer.
Our multidisciplinary approach brings together nephrologists, diabetologists, cardiologists, and renal dietitians. Every consultation includes structured education in Telugu, Hindi, Urdu, or English so families understand lab reports, medication timing, and the early signs that a review is due.
When to Consult Our CKD Care Specialists
⚠️ Seek Immediate Care If You Experience:
- ✓ Rapid swelling of feet or face
- ✓ Sudden drop in urine output or blood in urine
- ✓ Breathlessness, chest discomfort, or confusion
- ✓ Severe vomiting or diarrhoea with dizziness
Schedule a CKD review if your lab reports show declining eGFR, increasing protein in urine, or persistent high blood pressure. Early intervention allows us to slow progression and plan dialysis access well before an emergency arises.
Our Diagnostic Approach
Comprehensive Baseline Profiling
We capture serum creatinine, cystatin C when indicated, urine albumin-creatinine ratio, and renal ultrasound. These parameters determine CKD stage, structural changes, and whether we need further imaging.
Cardio-Metabolic Risk Assessment
Since CKD and heart disease are closely linked, we coordinate ECG, echocardiogram, lipid profile, and HbA1c testing. Shared care with cardiology helps lower heart failure admissions.
Complication Surveillance
Anaemia, mineral bone disorder, and metabolic acidosis can worsen fatigue and fractures. Regular haemoglobin, ferritin, PTH, calcium, and bicarbonate checks ensure timely therapy.
Prognosis & Planning
We calculate the Kidney Failure Risk Equation, review lifestyle factors, and counsel families on dialysis options, transplant pathways, and financial planning including Aarogyasri/TPA benefits.
Treatment Pathways
Our CKD programs follow KDIGO and Indian Society of Nephrology recommendations, moving from conservative care to renal replacement when needed:
- Lifestyle & Nutrition Reset: Structured low-salt, balanced protein diets, supervised exercise plans, and stress management improve blood pressure control.
- Medication Optimisation: ACE inhibitors, ARBs, SGLT2 inhibitors, and MRAs protect kidneys; diuretics and bicarbonate correct fluid and acid-base issues.
- Anaemia & Bone Clinic: Erythropoiesis-stimulating agents, IV iron, vitamin D analogues, and phosphate binders restore energy and bone strength.
- Vaccination & Infection Prevention: Timely hepatitis, influenza, and pneumococcal vaccines reduce infection-triggered admissions.
- Renal Replacement Preparation: AV fistula planning, peritoneal dialysis education, and transplant evaluation start early to avoid catheter-only access.
- Tele Follow-up: Remote monitoring keeps patients in Warangal, Karimnagar, or Nalgonda connected to the team without travel.
What to Expect: Your Care Journey
- First Visit (Week 0): Detailed history, labs, ultrasound, diet counselling, and medication review. We set personalised targets for blood pressure, sugar, and weight.
- Follow-up (Week 4-6): Review lab improvements, adjust medications, and schedule anaemia or bone health interventions if required.
- Quarterly Reviews: Repeat renal panels, evaluate symptoms, refresh diet plans, and coordinate vaccinations.
- Annual Planning: Reassess Kidney Failure Risk, discuss dialysis/transplant readiness, and update insurance documentation for cashless approvals.
Technology & Innovation
Ajuda's eGFR Trend Dashboard integrates lab, imaging, and blood pressure data. High-risk flags trigger alerts to nephrologists and coordinators. Patients receive digital summaries via WhatsApp, enabling informed decisions during teleconsults. We also link with partner labs for home sample collection in Shamshabad, Mahbubnagar, and Karimnagar.
Preventing Complications
By controlling blood pressure, sugar, and salt intake, we prevent cardiac failure, stroke, and hospitalisation. Our anaemia and bone protocols reduce fractures and transfusion needs. Early vaccination and infection control curb sepsis episodes that often accelerate CKD decline.
Why Ajuda for CKD Care?
🧠 Multidisciplinary Rounds
Nephrology, diabetology, and cardiology review every case together, aligning medications and follow-up plans.
📊 Digital Monitoring
EMR dashboards, WhatsApp summaries, and teleconsults keep patients informed between visits.
🛡️ Insurance Ready
Aarogyasri, Ayushman Bharat PMJAY, and top TPAs supported with cashless desk assistance.
Take the First Step
CKD does not have to progress rapidly. With Ajuda Hospitals you receive timely labs, proactive counselling, and a clear plan for every stage. Call 9010550550, WhatsApp our coordinators, or book a teleconsultation to protect your kidney health today.