The fact sheet contains interesting facts and statistics about metabolic acidosis and CKD.
The infographics below explain metabolic acidosis, illustrating why and how metabolic acidosis happens in CKD, the health problems it causes, and how it makes CKD worse.
Damaged kidneys can't get rid of extra acid in the body.
A diet high in animal-based proteins like red meat and low in fruits and vegetables increases acid in the body.
Acid builds up in the blood.
Serum bicarbonate is low and shows up on a lab test as low CO2 (carbon dioxide) in the blood (less than 22 mEq/L).
Loss of appetite
Nausea and vomiting
You may not have any symptoms
Hormone problems that cause high blood sugar and stop growth in children
Chronic Kidney Disease gets worse
Metabolic Acidosis & Chronic Kidney Disease
(too much acid in the body)
Blood bicarbonate below 22 mEq/L
Target Blood Bicarbonate
24 to 26 mEq/L
Treatments to Lower Acid*
Diet high in fruts and vegetables
Low fat milk
Lean meats, poultry,
6 oz or less
Nut, seeds, and
4-5 per week
Examples: sodium bicarbonate, sodium citrate
*You should consult your healthcare team before making dietary changes or taking medicines for metabolic acidosis.
** The DASH diet is high in potassium
What factors predict your level of risk for developing kidney failure and what can you do to reduce some of that risk?
Find information here about the risk factors for developing kidney failure and how to reduce that risk. Learn about metabolic acidosis is explained, and why its treatment is integral to achieving the overall goal of slowing the progression of CKD and preventing or delaying the onset of kidney failure. Link to Resources
There’s also an app called Neph + that calculates your individual risk for developing kidney failure within the next 2 year and 5-year periods. This app also contains information on metabolic acidosis and other risk factors for kidney failure, along with guidance on how you can reduce those risks.
Get information on how to download the new Neph+ App on your Android or iOS device.