Q: I am a 40 years old weighing 55 kg. I have been diagnosed with protein in urine (390 in 24 hours). My last recorded blood pressure was 130/100 mmHg. I have lost 5 kg in the last two years. The doctor advised Ramistar 2.5 at night. I have started taking the medicine three months back. A nephrologist has advised to take the same tablet twice a day and am taking it for the past one week. What does increased leakage of protein in the urine indicate? What are the diet recommendations?

A:If one has the evidence of persistently increased leakage of protein in the urine that would signify an early stage chronic kidney injury or chronic kidney disease (CKD). This could be fallout of hypertension as might be in your case. Focus should remain on strict blood pressure control (target BP <130/80mmHg) as being pursued in you, low salt diet, plenty of green leafy vegetables and fruits in the diet and exercise activity. There is no role of dietary protein restriction. The eventual goal is that your kidney's filtering function remains stable and well preserved.