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The Nutrition InvestigatorThe health and nutrition blog by Dr. Roc Ordman.

Chronic Kidney Disease notes

by Roc (click here for full post)

These are notes I gathered in response to a reader’s request for information about Chronic Kidney Disease.

It is mostly taken from the Mayo Clinic website.

Chronic kidney disease (CKD) refers to all 5 stages of kidney damage, from very mild damage in Stage 1 to complete kidney failure in Stage 5.

A person with stage 3 chronic kidney disease (CKD) has moderate kidney damage. This stage is broken up into two: a decrease in glomerular filtration rate (GFR) for Stage 3A is 45-59 mL/min and a decrease in GFR for Stage 3B is 30-44 mL/min.

Below are ways to slow kidney damage in Stage 1 kidney disease:

 

STAGE 1 and 2 Actions: Control your blood sugar if you have diabetes.

Keep a healthy blood pressure.

Eat a healthy diet.

Do not smoke or use tobacco.

Exercise 30 minutes a day, 5 days a week.

Keep a healthy weight.

Ask your doctor if there are medicines you can take to protect your kidneys.

 

Many people with Stage 3 kidney disease do not have any symptoms. But if there are symptoms, some of the more common ones are:

Swelling in the hands and feet

Back pain

Urinating more or less than normal

By Stage 3 kidney disease, you are more likely to have health complications as a result of waste building up in your body. Common complications from kidney disease are high blood pressure, anemia, and bone disease.

  • ACTIONS: Meet with a dietitian, who will help you follow a diet that will keep you healthy.
  • If you have diabetes or high blood pressure, ask your doctor about special kinds of blood pressure medicines called ACE inhibitors and ARBs.

 

DIET: For stage 3 CKD, a healthy diet is likely to consist of:

 

Eating high-quality protein and potassium (if blood levels are above normal)

Consuming some grains, fruits and vegetables (potassium and phosphorus are at normal levels)

Limiting phosphorus to help PTH levels remain normal, prevent bone disease and even preserve existing kidney function: DO NOT DRINK ANY KIND OF SODA POP! AVOID FAST FOODS. PREPARE YOUR OWN FOOD AS MUCH AS YOU CAN.

Lowering calcium consumption; Limiting calcium if blood levels are too high

Cutting back carbohydrates for those with diabetes

Decreasing saturated fats to help lower cholesterol – IT IS TOTAL CALORIES, NOT SAT’D FATS, THAT RAISE CHOLESTEROL. OLIVE OIL AND EATING FISH ARE LIKELY TO BE HEALTHY CHOICES.

Lowering sodium for people with high blood pressure or fluid retention by cutting out processed and pre-packaged foods

Taking water soluble vitamins such as C (100 mg per day)[ONE SHOULD GET 500MG BID WITH DOCTOR APPROVAL] and B complex, or completely avoiding over-the-counter dietary supplements (unless approved by the nephrologist)

It’s helpful to work with a registered renal dietitian because as the stages of CKD change, so will the diet.

 

YOU MIGHT CONSIDER ALTERNATE DAY FASTING, ONLY WATER ON ALTERNATE DAYS. EXERCISE A LOT! AVOID STRESS – LIKE THE NEWS AND UNPLEASANT SITUATIONS AND PEOPLE.

 

STAGE III DOES NOT SOUND SO AWFUL. BUT STAGE 4 IS, SO EXERCISE, AVOID SODA AND FAST FOOD AND STRESS, DRINK LOTS OF WATER, AND IGNORE ALL OF THIS ADVICE UNTIL YOU HAVE SPOKEN WITH A NEPHROLOGIST.

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