Individuals with diabetes, high blood pressure, heart problems or a family history of kidney disease have an increased risk for chronic kidney disease, a condition in which the kidneys lose their ability to effectively filter your blood.

According to the Centers for Disease Control and Prevention (CDC), around 37 million U.S adults have chronic kidney disease, and many more are at risk of developing it. Because kidney disease develops slowly before symptoms arise, many people are not aware they have the disease.

If left untreated, chronic kidney disease can eventually require dialysis or a kidney transplant. Even mild kidney problems increase the risk of heart attacks, strokes, anemia and bone disease.

Kidney disease has become widespread today due to the rise of obesity, type 2 diabetes and high blood pressure, all of which strain the kidneys. Another factor is the increasing number of people who take multiple medications, which can overtax the organs. People over the age of 60 are especially vulnerable because they tend to take more medications, and because kidney function naturally declines with age.

Get Screened

Because kidney disease is often symptomless, early stages of the disease usually go undiagnosed. The only way to detect it before it advances is through routine blood and urine tests. Anyone with diabetes, high blood pressure or heart disease, or over age 60 should be tested annually.

If your lab results indicate a decline in kidney function for more than three consecutive months, you may receive a diagnosis of kidney disease and be referred to a nephrologist. While kidney damage cannot be reversed, there are several effective lifestyle changes and treatments that can help prevent further damage.

Control your blood pressure: If you have high blood pressure, aim to keep it below 140/90. If you need medication, ACE inhibitors and ARBs are good choices because of their proven ability to protect kidney function.

Control your diabetes: If you have diabetes, maintain blood sugar levels as close to normal as possible. Diabetes medications such as SGLT-2 inhibitors have shown to be effective in helping slow the progression of kidney disease, even in non-diabetic patients.

Adjust your diet: This usually means reducing protein, phosphorus, sodium, sugar and potassium. Your doctor can help you determine an appropriate diet, or you may want to consult with a dietitian.

Watch your meds: Dozens of commonly used drugs can damage the kidneys, especially when taken in high doses over long periods. Notably non-steroidal anti-inflammatory drugs (NSAIDs), like ibuprofen and naproxen, proton pump inhibitors (PPI) used for heartburn and gastroesophageal reflux disease (GERD), and certain herbal supplements can also be problematic. Talk to your doctor about your prescriptions, over-the-counter and herbal products to identify potential problems and find alternatives.

Exercise and lose weight: If you are inactive, start an aerobic fitness routine (walk, swim, cycle, etc.) that gets your heart pumping. Regular physical activity can lower blood pressure, control diabetes and support weight loss, all of which benefit kidney health.

Stay hydrated: Dehydration can affect kidney function. Aim to drink at least 64 ounces of water per day.

Quit smoking: Smoking damages the kidneys and doubles the rate of progression to end-stage renal failure. If you smoke, consult with your healthcare professional to set up a plan to quit.

Savvy Living is written by Jim Miller, a regular contributor to the NBC Today Show and author of “The Savvy Senior” book. Any links in this article are offered as a service and there is no endorsement of any product. These articles are offered as a helpful and informative service to our friends and may not always reflect this organization’s official position on some topics. Jim invites you to send your senior questions to: Savvy Living, P.O. Box 5443, Norman, OK 73070.

The Internal Revenue Service (IRS) notes, “With filing season underway, this is a prime period for identity thieves to hit people with realistic-looking emails and texts about their tax returns and refunds. Watching out for these common scams can keep people from becoming victims of identity theft and protect their sensitive personal information that can be used to file tax returns and steal refunds."

1. Text Message Scams— There has been an uptick in text messages from senders that claim to represent the IRS. These fraudulent messages often include links to bogus websites that purport to be the IRS. The IRS emphasizes it does not use text messages other than the IRS Secure Access service. The IRS also will not send direct messages through social media platforms.
   
   If you receive a text message that claims to be from the IRS, you should take a screen shot and send it to This email address is being protected from spambots. You need JavaScript enabled to view it.. With the screenshot, include the date and time you received the text message and your phone number. You can take a screenshot on an iPhone by simultaneously pressing and releasing the side button and volume button. On other smartphone models, you may press at the same time the side button and home button or the top button and home button. The screenshot may then be accessed through your phone’s photos app and emailed to This email address is being protected from spambots. You need JavaScript enabled to view it..

1. Unemployment Fraud— There is a surge in efforts by organized crime rings to steal identities and file fraudulent unemployment claims with state agencies. Your state office will then issue IRS Form 1099-G, Certain Government Payments to the recipient and the IRS. If you receive a fraudulent or inaccurate Form 1099-G, you should report it to the state agency and obtain a corrected Form 1099-G. For information on unemployment fraud and to report an incident, go to DOL.gov/fraud. If you receive any communication from a state agency about an unemployment claim that you did not file or a notice from your employer about an unemployment claim that is improper, you should also report it.

1. Email Phishing Scams— The IRS emphasizes that it does not contact taxpayers through email to request personal or financial information. If you receive an unsolicited email, do not click on any links in the email. Send the email as an attachment to This email address is being protected from spambots. You need JavaScript enabled to view it.. The "Report Phishing and Online Scams" webpage at IRS.gov provides additional information.

1. Phone Scams— The IRS notes it does not leave urgent or threatening messages on your phone or voicemail. Scammers will often threaten victims with arrest, deportation or revocation of a driver's license. It is possible to "spoof" caller ID numbers. The scammer may attempt to spoof the caller ID number of a sheriff's office, department of motor vehicles or federal agency. The IRS emphasizes it will never call and demand payment through a prepaid debit card, gift card or wire transfer. It will also not ask for a credit or debit card over the phone.
   
   If you receive a threatening call, hang up the phone. You can report the caller ID and callback number on This email address is being protected from spambots. You need JavaScript enabled to view it.. You also may report the call on FTC.gov and note "IRS Telephone Scam" on your report.
   
   If you owe tax or think you might have a tax bill due to the IRS, you should hang up the phone. You can create an online account on IRS.gov and review your information. There may be a phone number on a billing notice from the IRS or the general IRS number is 800-829-1040.
   
   If you are a victim of identity theft and a fraudster has used your Social Security number to file and claim a fraudulent refund, you may be contacted by the IRS. You should immediately respond to any IRS notice and call the listed number.
   
   You may file IRS Form 14039, Identity Theft Affidavit. If you are a victim of identity theft, you still must file and pay taxes. Many individuals use a paper form to pay their tax in this circumstance.

Editor's Note: IRS tax filing season always causes fraudsters to intensify their efforts. Taxpayers should be familiar with the principal ways scammers attempt to steal identities and file fraudulent returns.

Many retirees, like you and your spouse, want to remain in their own home for as long as possible. But being able to do so will depend on how easy it is to update your home as you get older. There are key features and improvements you can make that will make your house safer and more convenient as you grow older.

Home Evaluation

The first step in making your home more livable as you age is to do an assessment. You should walk through each room and identify problem areas that have potential for tripping or slipping as well as areas that are difficult to access or maintain. There are several organizations that have checklists that point out potential problems in each area of the home, along with suggested modifications and solutions.

Rebuilding Together, for example, has a short “Safe at Home Checklist” that was created in partnership with the Administration on Aging and the American Occupational Therapy Association. To find the checklist, visit AOTA.org and search for “Rebuilding Together Safe at Home Checklist.”

The National Association of Home Builders also has a checklist that offers more than 100 suggestions to help homeowners aged 50 and over live safely, independently and comfortably. Their checklist can be found by visiting NAHB.org and searching for the “Aging-in-Place Remodeling Checklist.”

You may want to review AARP’s excellent resource guide that is filled with tips and diagrams to make your entire home safer and easier to live in as you age. You can access it at AARP.org, by searching for “HomeFit Guide.”

Personalized Advice

For more personalized help, consider scheduling a professional in-home assessment with an occupational therapist (OT). An OT can evaluate your home’s challenges and potential hazards, recommend solutions and introduce you to products and services to help you make improvements.

To find an OT in your area, check with your physician, health insurance provider, local hospital or seek recommendations from family and friends. Many health insurance providers, including Medicare, will cover the cost for a home assessment by an OT if prescribed by your doctor. However, Medicare will not cover the cost of upgrades to the home.

Another option is to contact a Certified Aging-in-Place Specialist (CAPS). CAPS are home remodelers and design professionals who specialize in aging-in-place home modifications. They can suggest ways to modify or remodel your home to fit your needs and budget. CAPS are generally paid by the hour or receive a flat fee per visit or project. To find a CAPS-certified professional in your area visit the National Association of Home Builders website at NAHB.org/capsdirectory where you can search by last name, credentials, state and city.

Savvy Living is written by Jim Miller, a regular contributor to the NBC Today Show and author of “The Savvy Senior” book. Any links in this article are offered as a service and there is no endorsement of any product. These articles are offered as a helpful and informative service to our friends and may not always reflect this organization’s official position on some topics. Jim invites you to send your senior questions to: Savvy Living, P.O. Box 5443, Norman, OK 73070.