KEEP

About KEEP

WHAT IS THE KIDNEY EARLY EVALUATION PROGRAM (KEEP)?

KEEP is a free health screening program offered by the National Kidney Foundation (NKF) for individuals at increased risk of developing kidney disease.

WHAT ARE THE GOALS OF THE PROGRAM?
The goals of KEEP are to:

WHO SHOULD ATTEND A KEEP SCREENING?
You should attend a KEEP screening if you are 18 years or older and have one or more of the following:

Please do not register for KEEP more than once a year. KEEP is only a screening service and not meant to provide a diagnosis or replace regular visits with your healthcare provider.

WHAT TAKES PLACE AT THE SCREENING?
One or more of these services will be provided to you at the screening:

Test results are provided on site by a clinician.
Free educational materials are also available.

WHAT HAPPENS AFTER THE SCREENING?
The National Kidney Foundation will:

HOW CAN I PARTICIPATE?

To obtain more information on KEEP and for a listing of Kidney Early Evaluation Programs (KEEP) taking place in your area, call the National Kidney Foundation at 1-800-622-9010 or visit www.KEEPonline.org

Understanding test values

Blood pressure, glucose (diabetes), a urine test for albumin (protein), height, weight and waist circumference are measured and the results are available to you the day of the screening. If you qualify to complete the entire screening, the following blood tests will be measured and sent to a lab: creatinine (kidney disease), lipids (HDL, LDL and triglycerides), hemoglobin (anemia) and GFR (kidney function). Individuals with an eGFR below 60 will have a calcium, phosphorus, and PTH conducted by the lab to assess bone health. Any participant with self-reported diabetes or blood sugar levels indicative of diabetes will have a Hemoglobin A1c done by the lab. You will receive your results in the mail in about four weeks.

  1. Blood Pressure: Blood pressure is the force your blood puts on the walls of your blood vessels as your heart works. Uncontrolled high blood pressure can cause heart disease, stroke, kidney disease and damage to the blood vessels. The guidelines presented in the Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC VII) are used in the KEEP program for classification of values and referral guidelines. The JNC VII classifications for adults 18 years and older are defined below.

    2. The classification of prehypertension was created to increase the awareness of the possibility of developing hypertension so that measures, such as adopting a healthy lifestyle, can be taken to prevent high blood pressure.


    Understanding Blood Pressure Reading

    Systolic

    Upper number (systolic) is less than 120 mm Hg ......... Normal

    Upper number (systolic) is 120 - 139 mm Hg ......... Pre hypertension

    Upper number (systolic) is 140 - 159 mm Hg ......... Hypertension (stage 1)

    Upper number (systolic) is 160 mm Hg or greater ......... Hypertension (stage 2)

    Diastolic

    Lower number (diastolic) is less than 80 mm Hg ......... Normal

    Lower number (diastolic) is 80 - 89 mm Hg ......... Pre hypertension

    Lower number (diastolic) is 90 - 99 mm Hg ......... Hypertension (stage 1)

    Lower number (diastolic) is 100 mm Hg or greater ......... Hypertension (stage 2)


    If you have diabetes and/or kidney disease, the target range for the upper number (systolic) is less than 130 mm Hg and the lower number (diastolic) is less than 80 mm Hg.

  2. Blood Glucose Check: Blood glucose is the concentration of sugar in the blood. This test is done to check for diabetes. A drop of blood placed on a glucose monitor is used to determine your glucose value. Glucose is the sugar in your blood.

    3. Understanding Blood Glucose Reading

    No known Diabetes Known Diabetes
    Fasting (Before eating)

    <40 Low
    40-99 mg/dl    Normal
    100-125 mg/dl     Impaired Fasting Glucose
    More than 125 mg/dl   Indicates diabetes

    Non-Fasting (After eating)

    <40 Low
    40-139 mg/dl    Normal
    140-199 mg/dl            High
    200 mg/dl and higher  Indicates diabetes
    		"Fasting (Before eating)

    Less than 70 mg/dl     Below target range
    70 - 130 mg/dl           Within target range
    More than 130 mg/dl  Above target range



    Non-Fasting (After eating)

    <40 Low
    Less than 180 mg/dl   Within target range
    180 mg/dl    and higher Above target range


  3. Albumin to creatinine ratio: The albumin to creatinine measurement estimates the amount of protein (albumin) found in your urine in a day and avoids the need to collect a 24-hour urine specimen. This test also helps measure for protein in the urine more accurately, since it corrects for differences in urine concentration.

    4. Less than 30 mg/gm          Normal

    30 mg/gm or Greater         Abnormal


Results for the following tests will be mailed to you within a few weeks.

 

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