How to Control High Blood pressure in FSGS

Most of patents with FSGS will suffer from elevated blood pressure, having a good control of blood pressure also slow down the progression of kidney damage.

Encourage health-promoting behaviors such as smoking cessation and physical activity. Cigarette smoking is associated with abnormal urine albumin and progression of CKD. Smoking also contributes to death from stroke and heart attack in people with CKD. Overall, step-down nicotine replacement therapy is generally safe, but the patient must be monitored for side effects, which may include worsening of existing hypertension and contact allergy or sensitization.
Although people with CKD tend to be less active, the goals for physical activity are the same as in the general population, at least 20 to 30 minutes every day. To improve or prevent deconditioning, both aerobic and strength training should be encouraged. Physical activity may help prevent cardiovascular disease, improve glucose control in those with diabetes, and maintain muscle mass.

Evidence suggests that providing self-management education to patients with chronic disease results in reduced health service utilization and improved health behaviors and health status beyond that achieved by usual care.

High blood pressure is both a cause and complication of CKD. Uncontrolled high blood pressure can accelerate the loss of GFR. Blood pressure control usually requires a combination of antihypertensive medications and lifestyle modifications.

The panel members appointed to the eighth Joint National Committee (JNC 8) recently completed an extensive review of evidence around management of hypertensive adults. Due to insufficient evidence for blood pressure goals in the CKD population, the Panel recommended treating to a blood pressure goal of less than 140/90 mm Hg for people with CKD based on expert opinion. Additionally, the panel recommended initial treatment with ACE inhibitors or ARBs for hypertensive patients with CKD. However, the Panel emphasized that the recommendations should not override clinical judgment and decisions about care should consider individual patient circumstances.


The natural treatments in Shijiazhuang Kidney Disease Hospital are provided for patients with kidney disease. If you want to know more details about the natural treatments, you are recommended to send email to
 kidneyhospitalabroad@hotmail.com.