I get mine tested every three months, but I am not on spiro. I am on another potassium-sparing medication called lisinopril.
But you are in the normal range.
It is high potassium that can indicate kidney disease and can cause heart problems.
Low potassium (hypokalemia) is more common than you think, especially in athletes. It can cause muscle cramps, and if very low, heart arrhythmias. If you are getting these, drink some Gatorade.