Keto Diet And Creatinine Levels
Creatinine, a waste product that naturally occurs in the body, can build up over time with chronic kidney disease. So would a keto diet help creatinine levels?
There is noresearch at this time that focuses on the keto diet and creatinine levels in those with chronic kidney disease.
One study did measure the effect of creatinine clearance between a low-carb/high-protein vs. low-fat diet. The study, however, used obese adults without any serious medical conditions including kidney disease.
The result in that particular study found that healthy obese individuals had no harmful effects on GFR. But the study also wrapped up with the infamous line, Further follow-up is needed to determine even longer-term effects on kidney function.
What Does The Operation Involve
The operation is different depending on whether it is an open surgery or by laparoscopy. Both start with an incision made in the persons side, the blood vessels to the kidney get tied off, and the ureter is tied off and the kidney is taken out. Typically, donors recover from laparoscopic surgery within a week and from the open surgery within a couple of weeks.
About This Research Topic
Kidney transplantation significantly mitigates the consequences of advanced chronic kidney disease and end-stage renal disease and advances have been made in the past several decades. Kidney transplantation has resulted in improved survival of CKD patients and improved their quality of life. In …
Keywords:kidney, kidney transplantation, metabolic changes, renal function
Important Note: All contributions to this Research Topic must be within the scope of the section and journal to which they are submitted, as defined in their mission statements. Frontiers reserves the right to guide an out-of-scope manuscript to a more suitable section or journal at any stage of peer review.
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What Are The Different Types Of Kidney Transplants
There are two kinds of kidney transplants depending on who donates the new kidney.
A living-donor transplant is when someone gets a kidney from a person who is still alive and well. It’s usually from a relative or close friend, but sometimes strangers donate.
A is when people donate their kidneys for transplant after they die. This requires people who need kidneys to put their names on a waiting list until a donor is found.
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Time Trends In Egfr At 1 Year Post
shows the generally stable trend of average post-KT eGFR between the early and the recent periods. Among deceased-donor KT recipients , average 1-year post-KT eGFR ranged from 54.8 to 56.5 ml/min per 1.73 m2 in 20012005, and 56.6 to 56.9 in 20112013. Among living-donor KT recipients , the difference in 1-year post-KT eGFR between the two periods was similarly small. The shaded boxes in both panels between 2006 and 2010 represent the uncertainty in eGFR estimation during this transition period. Assuming that all laboratories adopted the IDMS-calibrated methodology in 2006 would result in the lower bound estimate, whereas the upper bound estimate would result from a universal delay in adoption until 2011.
Average eGFR at 1 year post-kidney transplant has remained essentially unchanged for both deceased donor kidney transplant and living donor kidney transplant recipients between 2001 and 2013. Average eGFR at 1 year post-KT was calculated by donor type and year transplanted: for DDKT recipients and for LDKT recipients. NonIDMS-calibrated MDRD equation was applied for recipients between 2001 and 2005, and IDMS-calibrated version was applied for recipients between 2011 and 2013. For patients transplanted between 2006 and 2010, both versions of the MDRD equation were used to generate the upper bound and lower bound average eGFR.
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New Challenge New Fight
Hi all. Mike I know how you feel I had a radical nephrectomy done in Apil and I thought WOW dodged another one. Post surgery labs have revieled that my creatinine level has gone up from 1.9 to a 3.9 . I ‘m currently hovering between 3.2 and 3.0. I saw a nephrologist today and was in formed that I’m at stage 4 chronic kidney disease . Here I go again another battle but , I’m strong and have faith . The doctor told me that the goal is to maintain my GFR where it is at 25 . Like you they belive it is due to my high blood pressure . You might want to go this site Kidney .org lots of good info.
Keep your head up
What Risks Are There For The Donor How Safe Is It
After being considered a match and scheduling the transplant, the donor needs to discuss the plan with the transplant team and what to expect post-op. While each facility is different, most can expect to stay in the hospital for 3-7 days and will need to regularly check in with their health care provider to monitor the health of their kidneys. They can continue to lead normal lives but need to be mindful of sports or lifestyles that would put their kidney at risk. However, we know from years of doing transplants that giving one kidney results in very little risk to the patient if they have no evidence of kidney disease themselves, or conditions like diabetes that could cause kidney disease.
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Symptoms Of Heart Disease
Heart disease often does not have any symptoms until your heart and blood vessels are badly damaged. If you have CKD, you and your doctor can watch closely for any signs of heart disease though blood work or monitoring how you feel. Symptoms of heart disease depend on the type of heart disease you have. Some symptoms to look out for are:
- Chest pain
- Pain, numbness, weakness or coldness in your legs or arms
- Pain in the neck, jaw, throat, upper abdomen or back
- Swelling of the legs, ankles and feet
- Irregular heartbeats that feel rapid, pounding or fluttering
- Dizziness, lightheadedness and fainting
Heart disease is easier to treat when caught early, so be sure to tell your doctor if you ever feel symptoms or have concerns about your risk.
What Does Kidney Transplant Surgery Involve
You only need 1 working kidney to be healthy, so only 1 kidney is transplanted during surgery. Your 2 original kidneys will usually remain in place and the new donor kidney will be placed in another area of your abdomen. The ureter attached to the donor kidney will then be attached to your bladder. If the kidney transplant surgery is successful, your new kidney will take over the tasks of filtering your blood and making urine, just like your own kidneys did before you had kidney disease.
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How Will I Pay For A Transplant
Medicare covers about 80% of the costs associated with an evaluation, transplant operation, follow-up care, and anti-rejection medicines. Private insurers and state programs may cover some costs as well. However, your post-transplant expenses may only be covered for a limited number of years. Its important to discuss coverage with your social worker, who can answer your questions or direct you to others who can help.
What Kinds Of Anti
Most transplant receivers will need to take immune suppressants so that the body doesnt reject the organ. The most common side effect of these medications is increased risk of infection. Many lupus patients take these medications to suppress their overactive immune system, even without transplant. So, its something people with lupus have to deal with a lot avoiding infections and protecting themselves from contracting common viruses and colds.
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If An Individual Is Put On A List For A Transplant How Long Could The Wait Be And How Are People Prioritized On The List
People waiting for an organ on a donor list are prioritized based on disease process, need and expected outcome. Each time a kidney becomes available, it is checked with those on the list to make sure a good match is made. So even if someone is high on the list, they may be skipped over if the kidney isnt compatible. The wait on a donor list can be anywhere from months to years. A living donor with a perfect match can shorten this waiting period considerably. Having a family member or friend who is a perfect match means you can move forward with preparations and can avoid a donation list. Often, blood type also influences how much time a person must wait for a match.
How Long Do Kidney Transplants Last
There are a number of factors which affect how long a transplanted kidney lasts.
These include whether or not the kidney came from a living donor, how well the kidney is matched in terms of blood group and tissue type, and the age and overall health of the person receiving the donation.
If you have a kidney transplant that fails, you can usually be put on the waiting list for another transplant. You may need dialysis in the meantime.
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What Tests Will Help Track My Ckd
The blood and urine tests used to check for CKD are also used to monitor CKD. You need to keep track of your test results to see how you’re doing.
Track your blood pressure.
If you have diabetes, monitor your blood glucose and keep it in your target range. Like high blood pressure, high blood glucose can be harmful to your kidneys. See CKD: Tracking My Test Results.
Macronutrients Of The Keto Diet
The ratio of nutrients that are in the keto diet are quite different from the standard healthy eating guidelines.
| Type of Diet |
| 55-65% |
There can be some flexibility on the percentages of protein and fat, but rarely carbohydrates.
In the keto diet, the carbohydrate intake per day should remain below 20 grams. Therefore, the carbs in a keto diet could look like just an apple for the day.
The Atkins diet, a variation of the ketogenic diet, is similar in nutritional breakdown of macronutrients compared to the keto diet. However, the main difference between keto and Atkins diet is that the Atkins diet is significantly higher in protein than the keto diet.
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What Is The Recovery Process Like For The Donor And The Person Receiving The Kidney How Long Is The Recovery Process
Typically, it takes about 4-6 weeks to recover from a kidney transplant operation. Both the donor and the person who receives the kidney should pay attention to any signs of infection or pain. The person receiving the new kidney will need close follow-up and medication and will be closely monitored by the healthcare team to evaluate the bodys response to its new organ. Follow up appointments are important in the first weeks and months after receiving a new organ. These visits may include bloodwork, frequent visits to the transplant center or adjustments to medications.
Side Effects Of Keto Diet
Several things can happen when on a keto diet that can be unappealing.
An early onset side effect of the keto diet is called the keto flu. This can include low energy, brain fog and headaches.
For many people, constipation can be a common side effect due to the restriction of carbohydrates. While low-carbohydrate vegetables are a part of a ketogenic diet, many tend to lean towards including more fats like butter and bacon.
Other side effects that can occur from a ketogenic diet include
- Reflux
- Dehydration
Nutritional Deficiencies
The diet focuses on high-fat foods and severely restricts the intake of carbohydrate foods, such as fruits, vegetables, legumes, and dairy. Therefore, there is a higher risk for nutritional deficiencies.
These deficiencies can include B vitamins , calcium , vitamin D, and electrolytes like potassium.
Fat-soluble vitamins A and E along with magnesium were also found to be decreased in children following the therapeutic ketogenic diet.
Calcium can also be a problem with the keto diet and kidney disease. The fat sources can lead to metabolic acidosis, which can trigger higher calcium losses in urine. Subsequently, this is why kidney stones can be more prevalent in a keto diet.
To prevent micronutrient deficiencies while following a keto diet for kidney disease, its important to discuss with your dietitian to assess for the appropriate supplement plan.
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How Is A Kidney Transplant Performed
Your doctor can schedule the transplant in advance if youre receiving a kidney from a living donor.
However, if youre waiting for a deceased donor whos a close match for your tissue type, youll have to be available to rush to the hospital at a moments notice when a donor is identified. Many transplant hospitals give their people pagers or cell phones so that they can be reached quickly.
Once you arrive at the transplant center, youll need to give a sample of your blood for the antibody test. Youll be cleared for surgery if the result is a negative crossmatch.
A kidney transplant is done under general anesthesia. This involves giving you a medication that puts you to sleep during the surgery. The anesthetic will be injected into your body through an intravenous line in your hand or arm.
Once youre asleep, your doctor makes an incision in your abdomen and places the donor kidney inside. They then connect the arteries and veins from the kidney to your arteries and veins. This will cause blood to start flowing through the new kidney.
Your doctor will also attach the new kidneys ureter to your bladder so that youre able to urinate normally. The ureter is the tube that connects your kidney to your bladder.
Your doctor will leave your original kidneys in your body unless theyre causing problems, such as high blood pressure or infection.
Social Security Disability And Chronic Kidney Disease What Ive Learned
Web ID 1063
Being on dialysis and not feeling well while trying to remain gainfully employed can be challenging. As an attorney with civil litigation cases, I could have court hearings, trials, or other matters scheduled which would be extremely difficult to cover while spending three days a week on hemodialysis. When I went on dialysis, I researched my options as far as disability payments and tried to find what was best. Heres what Ive learned:
People who have Chronic Kidney Disease may qualify for Social Security Disability . Those with CKD who are on dialysis may automatically qualify.
SSD pays disability benefits to those who cant work because they have a medical condition thats expected to last at least one year or to result in death. To qualify, one must have worked long enough in jobs covered by Social Security, and have a medical condition that meets Social Securitys definition of disability. As for the first qualification, generally you need 40 credits, with 20 earned in the last 10 years. With a maximum of four credits being earned a year in a full time job, this means one must have worked for 20 years total, with 20 of the credits coming in the last 10 years. As for the second qualification, the disability must be total , and must be expected to last at least one year or result in death.
Social Security has five questions to determine whether one is totally disabled. Answers to the first three often determine eligibility:
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What Happens Before A Kidney Transplant
If your child needs a kidney transplant, your first step is to visit a transplant center. The health care team will check to make sure that your child is healthy enough to have surgery and take the medicines needed after the transplant. This will include blood tests, X-rays, and other tests, and can take a few weeks or months.
If the transplant team decides your child is a good candidate, the next step is to find a kidney. In most cases for living donor transplants, a kidney comes from a close relative or friend who has a compatible blood type.
If a living donor isn’t found, your child’s name will go on a waiting list until a kidney from a deceased donor is matched to your child. The need for new kidneys is far greater than the number donated, so this can take a long time.
You’ll stay in close touch with the doctors and the rest of the health care team. Make sure they know how to reach you at all times. When a kidney is located, you’ll need to go to the transplant center at a moment’s notice.
While you wait for a transplant, keep your child as healthy as possible. That way, he or she will be ready for transplant surgery when the time comes. Help your child:
- eat healthy foods and follow any special diet recommendations from the doctor, nurse, or dietitian
- take all medicines as directed
- keep all medical appointments
Tell your doctor and the transplant center right away if is any change in your child’s health.
How Common Is It For Lupus To Affect The Kidneys
Lupus mostly impacts women ages 15-44 and lupus nephritis is more prevalent and often more severe in African Americans and Hispanics than in Caucasians. Studies have shown that minority women who develop lupus at a younger age tend to have more serious complications. Up to 60 percent of people with lupus will develop kidney complications. Women of color are especially at risk.
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Heart Disease And Dialysis
Heart disease is the most common cause of death for people on dialysis. It is important to work with your doctor to make certain lifestyle changes that can decrease your chance of getting heart disease or making it worse. Prevent heart disease when you have kidney disease:
- Control your blood sugar if you have diabetes
- Control your blood pressure if you have high blood pressure
- Balance levels of calcium and phosphorous in your body
- Manage high cholesterol