Eating Right For Chronic Kidney Disease
You may need to change what you eat to manage your chronic kidney disease . Work with a registered dietitian to develop a meal plan that includes foods that you enjoy eating while maintaining your kidney health.
The steps below will help you eat right as you manage your kidney disease. The first three steps are important for all people with kidney disease. The last two steps may become important as your kidney function goes down.
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How Can I Prevent It
Diabetic kidney disease can be prevented by keeping blood glucose in your target range. Research has shown that tight blood glucose control reduces the risk of microalbuminuria by one third. In people who already had microalbuminuria, the risk of progressing to macroalbuminuria was cut in half. Other studies have suggested that tight control can reverse microalbuminuria.
Renal Diabetic Diet: What You Need To Know From A Renal Dietitian
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It can be challenging enough to follow a renal diet or diabetic diet, but a renal diabetic diet? It can be so confusing with all the things to avoid with diabetes and kidney disease. Here, we will dive into what to know about the renal diabetic diet.
According to the CDC, one in every three American adults with diabetes also has chronic kidney disease. That is tens of thousands of people, all of whom are now dealing with not one but two challenging diseases, each of which has its guidelines, restrictions, and recommendations in regards to diet and lifestyle.
But, with the right understanding of both conditions and the dietary options needed to manage them, implementing a renal diabetic diet doesnt have to be a stressful experience.
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What Exactly Should A Patient With Diabetes And Chronic Kidney Disease Do To Manage Them
When living with both diabetes and chronic kidney disease, it may feel like there are a lot of lifestyle restrictions. But with careful planning, it is possible for you to manage your conditions well and live a fuller life. This starts with controlling your blood sugar and blood pressure, to prevent further complications.
Some of the steps that you can make include committing to set meal timings, avoiding empty sugars and carbohydrates, exercising every day, and most importantly, creating a routine self-monitoring habit. In addition, your doctor may also adjust your medications to ensure your kidney issues are taken into consideration.
When in doubt about what diet to follow, it is always safer to follow a renal diet than a diabetes diet, as it closely monitors potentially problematic micronutrients. For example, according to most doctors, whole grain bread is considered more healthy, but in a chronic kidney disease patient, white bread would be better, as it is lower in phosphorus, potassium and even hidden sugars.
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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Lean And Plant Proteins
Protein is the building block of our muscles. However, protein recommendations vary greatly depending on the stage of kidney disease and overall kidney function.
That is why it is important to make sure you are focusing on a renal diabetic diet instead of simply a diet focused on managing diabetes when youre dealing with both conditions.
There are certain markers of eGFR you can look for when determining how much protein to eat in a day. The chart below will help you decide what amount of protein is best for you. This is also a great opportunity to work with a registered renal dietitian. Dietitians are trained to make safe diet recommendations for you.
It is very important to work with a dietitian when following a low-protein diet .
Someresearch has shown that limiting protein intake during the early stages of chronic kidney disease may lead to better overall outcomes in levels such as fasting glucose and eGFR.
Protein is found in both animal and plant-based foods.Examples of kidney-friendly protein sources from animals include lean beef, turkey, and chicken. Beware of pre-made roasted chicken as they often contain more sodium and phosphorus. Cottage cheese is a great protein option. It is lower in potassium and phosphorus than other food choices.
Plant-based protein options include tofu, lentils, beans, nuts, and nut butter. As with all processed protein options and food choices, be sure to limit sodium in these foods and all foods you choose.
Are There Any New Treatments That Can Help Me
Yes. Some studies suggest that a group of high blood pressure medicines called ACE inhibitors may help to prevent or delay the progression of diabetic kidney disease. These drugs reduce blood pressure in your body, and they may lower the pressure within the kidney’s filtering apparatus . They also seem to have beneficial effects that are unrelated to changes in blood pressure. Patients who take these medicines may have less protein in their urine. SGLT2 inhibitors are a newer class of medicines, some of which can also help reduce the risk of heart or kidney disease in people with diabetic kidney disease. SGLT2 inhibitors can also reduce hospitalization risk from heart failure. Other medicines, such as GLP-1 agonists and MRAs, are also being studied for risk reduction of heart and kidney disease in people with diabetic kidney disease. You may want to speak to your doctor or another member of your healthcare team, to see if these medicines could help you
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Type 1 Diabetic Kidney Disease
Type 1 Diabetic Kidney Disease | Natural Ways to Support Kidney Health
This video is about type 1 diabetic kidney disease and a couple things you can do to help support good kidney health and support normal kidney function.
We have two major types of diabetes type 1 and type 2. Type 2 is the most common one, considered adult onset generally you get it as an adult. Some children do get it and it is the largest of the diabetes. It has a high rate of causing kidney failure.
With type 1 diabetes youre born with it okay where your body makes little to no insulin and so youre insulin dependent for the rest of your life. There is also with type 1, like type 2, a very high rate of kidney failure. So in type 1 diabetes its about a 30 percent of people with it will end up with kidney failure in their lifetime. It doesnt get a lot of attention but its something i want to talk about and things you can do. Its so important and tends to get overshadowed by type 2 is the major one that most of the world has so thats why you dont hear a lot about it.
Fiber also acts as a prebiotic so you want to try to get two cups at lunch two cups that dinner will get you high into around that 10 gram area of each meal. You also can do a high fiber cereal. Make sure it doesnt have a lot of sugar. Generally if its a really high amount of fiber itll prevent the rise in blood sugar and they sell a variety of those at stores.
What Are The Ways To Make A Kidney
If you have diabetes along with kidney disease, you need to control your blood sugar to prevent more damage to your kidneys. A diabetic diet and a kidney-friendly diet share a lot of the same food items, but there are some important differences. There are some ways your kidney-friendly diet and diabetic diet can work together. Below are a few food items that are good for you, if youre diagnosed with both diabetes and kidney disease.
- Fruits: Berries, papaya, cherries, apples and plums
- Vegetables: Cauliflower, onions and spinach
- Proteins: Lean meats , eggs and unsalted seafood
- Carbohydrates: Whole-wheat breads, sandwich buns, unsalted crackers and pasta
- Fluids: Water, clear soups and unsweetened tea
- If you drink orange juice to treat low blood sugar, switch to kidney-friendly apple juice. It will provide the same blood sugar boost with a lot less potassium.
Your doctor and/or dietician will help you to create a meal plan that helps you control your blood sugar level while limiting sodium, phosphorus, potassium and fluids in the body.
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What To Eat For Good Kidney Health
Friday, 4 March 2022
The role of the kidney is to filter the blood and pass waste products and excess fluid into the urine. When the kidney filters become damaged, there can be a build-up of waste products and fluid in the body. The most common cause of kidney disease is diabetes and high blood pressure. Diabetic nephropathy occurs when the small blood vessels in the kidneys become damaged from high blood glucose levels.
Kidney disease is progressive and once it becomes severe, dialysis or a kidney transplant is required. If you have been told you have chronic kidney disease or diabetic nephropathy it is important that you make some dietary changes.
Symptoms Of Kidney Failure
For people with diabetes, kidney problems are usually picked up during a check-up by their doctor. Occasionally, a person can have type 2 diabetes without knowing it. This means their unchecked high blood sugar levels may be slowly damaging their kidneys. At first, the only sign is high protein levels in the urine, but this has no symptoms. It may be years before the kidneys are damaged severely enough to cause symptoms. Some of the symptoms may include:
- Fluid retention
- Fatigue
- Vomiting.
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Special Steps For People With Diabetes
If you have diabetes, work with your dietitian to make a diet plan that allows you to avoid the nutrients you need to limit, while also controlling your blood sugar. If you do PD, keep in mind that PD solution has dextrose in it. Dextrose is a type of sugar. When you do PD, some of the dextrose is taken in by your body. If you have diabetes, it is very important to count the dextrose in your PD solution as extra sugar in your diet. Talk to your health care provider or dietitian if you have questions about managing your blood sugar if you do PD.
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What Kidney Donor Requirements Must I Meet
All living donors must meet certain kidney donation requirements. These requirements include:
- Being between the ages of 18 and 75.
- Not using drugs or other substances.
- Being in good general health and have no history of:
- Heart disease.
- HIV.
- Cancers or other diseases that could complicate the surgery.
When you choose to donate a kidney, your transplant team will evaluate you to make sure youre a suitable donor. Doctors will examine you as well as conduct a series of blood tests. Youll also answer questions about:
- Your decision to donate .
- Your finances, work schedule, and whether you can take time off for needed testing, surgery, and healing.
- Your support system, including family and friends who can help you.
- Your mental health history.
Doctors will ask you about any medical conditions you have and any past health problems youve experienced. Some potential donors learn that they cant donate a kidney because they have a medical condition that excludes them.
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Why It Matters In Kidney Disease
When kidneys start to fail, sodium can accumulate in cells and cause fluid to build up in the tissuesswelling that’s known as called edema. Edema usually occurs in the face, hands, and lower extremities.
Excess sodium also causes blood pressure to rise , shortness of breath, and fluid around the heart and lungs. Too much sodium in the diet can contribute to damage to the kidneys and exacerbate swelling.
When your kidneys are not healthy, extra sodium and fluid build up in your body. This can cause swollen ankles, puffiness, a rise in blood pressure, shortness of breath, and/or fluid around your heart and lungs.
Recipes Nephcure Kidney International
There are many resources for kidney friendly recipes. Here are a few helpful links: DaVita Recipes : This website has over 1,000 renal friendly recipes and a free Diet Helper service! The American Association of Kidney Patients Kidney Friendly Recipes : A great resource with many recipes for all meals! The Kidney Foundation of Canada Kidney Kitchen Cookbook : A community cookbook that includes options for beverages, breakfast, lunch, and dinner! There is also a meal plan option. The National Kidney Foundation My Food Coach : Allows you to specify your diet between full renal diet, low sodium, and diabetic. The American Heart Association Nutrition Center : Provides a lot of tips on dining out, cooking, and healthy shopping. Heart Healthy Online Low Sodium Recipes : If youve been advised to follow a low-sodium diet, these delicious recipes are perfect for you they all have 140 mg or less of sodium per serving. Mega Heart Low Sodium Recipes : This site has a lot of low sodium recipes and there is even a kids section! Have a recipe you LOVE to make? Share your own Kidney Friendly Recipes in our online community, NephSpace !Continue reading > >
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Your Blood And Tissue Type Must Be Compatible With Your Recipients
Besides being healthy, living donors must have compatible blood and tissue types with the kidney recipient. The transplant team will perform tests to see if your blood and tissues are compatible with the kidney recipient. If they arent, our living donor program can also educate you about the paired donation program.
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If My Kidneys Are Already Affected Can I Keep Them From Getting Worse
It may be possible to prevent or delay the progression of kidney disease. Since high blood pressure is one of the major factors that predict which diabetics will develop serious kidney disease, it is important to take your high blood pressure pills faithfully if you do have high blood pressure. Your doctor may also recommend that you follow a low-protein diet, which reduces the amount of work your kidneys have to do. You should also continue to follow your diabetic diet and to take all your prescribed medicines.
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Why Diabetes Can Lead To Kidney Failure
Diabetes is a major risk factor for kidney disease. Thats because diabetes can damage the tiny blood vessels that keep your kidneys healthy. Over time, this can make it harder for your kidneys to filter your blood properly, allowing salt and other nutrients to accumulate in your blood. At the same time, diabetes can damage the nerves that help you relieve your bladder, increasing your risk of urinary tract infections that can sometimes spread to the kidneys.
Potatoes And Sweet Potatoes
Potatoes and sweet potatoes are high in potassium, which can be a concern for people with kidney disease, especially those with late stage kidney disease.
For example, a medium baked potato contains 610 mg of potassium, and a standard baked sweet potato contains 541 mg of potassium .
However, potatoes and sweet potatoes can be soaked or leached to significantly reduce their potassium content.
In one study, boiling small, thin pieces of potatoes for at least 10 minutes reduced their potassium content by about 50% .
In another study, soaking potatoes after cooking them reduced the potassium content by as much as 70%, resulting in potassium levels suitable for people with kidney disease .
While these methods may lower the potassium content, potatoes and sweet potatoes are still high in carbs, so its a good idea to eat them in moderation if you have diabetes.
Summary
If you have kidney disease and diabetes, limit your intake of potatoes and sweet potatoes, as theyre high in potassium and carbs. However, boiling them can significantly reduce their potassium content.
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How Can I Tell If I Have Diabetic Kidney Disease
Most people with diabetic kidney disease do not have symptoms. The only way to know if you have diabetic kidney disease is to get your kidneys checked.
Health care professionals use blood and urine tests to check for diabetic kidney disease. Your health care professional will check your urine for albumin and will also do a blood test to see how well your kidneys are filtering your blood.
You should get tested every year for kidney disease if you
- have had type 1 diabetes for more than 5 years