Question 1

stage 3 ckd, what foods should be avoided to help prevent progression? pt not diabetic ckd cause still unknown

Accepted Answer

Low Sodium  !!!!: A low sodium diet will lower blood pressure and theoretically decrease the pressure inside the kidney filters (glomeruli) slowing the loss of kidney function.  Most kidney doctors recommend a low protein diet.  The lab data supports this but human studies (mdrd) have not fully validated this recommendation.  A new study reports that higher phosphorous levels associate with faster decline in functi.

Question 2

good afternoon doctors. how long does it typically take to progress from stage 2 or stage 3 ckd to needing dialysis? can progressing to dialysis be at all avoided, and if so, how could one avoid dialysis?

Accepted Answer

: Depending upon the underlying Kidney disease, the progression to stage IV or higher can be slowed down or even avoided.  Progression of diabetic nephropathy,  for an instance, can be slowed down by good diabetes control.

Question 3

i had my overnight fasting and my creatinine is 124. normal range is 59-104 umol/l. when i retested my creatinine without fasting, my level is 102.23 umol/l. normal range is 50 -120. why is that? which one is believable? do i have ckd?

Accepted Answer

: If you don't drink water during that 8-hour fasting period your volume is mildly low which may cause a higher serum creatinine. However, that only happens in a patient with borderline kidney function and it is apparently present in your case because your serum creatinine is quite close to the high normal limit of 104. Unless you have a very good body mass, otherwise you probably have mild CKD.

Question 4

with ckd is there a restraint on eating spicy foods?

Accepted Answer

Salt intake: It is not the spices but salt that you need to watch out for. You do need to watch other aspects of your diet and it would be helpful to consult a nutritionist.

Question 5

how often should a person re-check his ckd numbers (stage he's in) per year? is there something one can buy to track the #s at home? thank you!

Accepted Answer

Status of CKD: If a person has CKD stage 3 or higher, that person should be seen by a nephrologist (n) every 3 months to monitor the person's status and to see if any new issues come up that need to be dealt with. If the patient has CKD class 1 or 2 patients can be seen every 6 months. Blood and urine samples are used to track progression of CKD and only a physician can order them. See a n for good care.

Question 6

hi, at what stage of ckd will the diabetes medicine reduces.i read if one has ckd then at some stage the diabetes med will reduce meaning damage.thx?

Accepted Answer

Misunderstanding?: Maybe I understand now. You've asked several questions. There are diabetes medicines that may have to be reduced as the kidneys fail, but that's because they're excreted by way of the kidneys, not because the diabetes itself is getting better.

Question 7

why would there be no low protein section in food store for ckd patients?

Accepted Answer

Traditionally : In the old days when we didn't have dialysis available, low protein diets were often used to treat patients with advanced kidney disease. Now, however, the recommended daily protein intake  for such patients is about 0.8 gram per kilo body weight. In other words, you do need protein in slightly lower amounts, but extremely low intake will do more harm than good by causing a malnutrition.

Question 8

what causes triglyceride level to rise in blood in people with ckd? any particular food to blame?

Accepted Answer

Depends: It may be a independent issue. Diet/gene are equally involved. Just not eating breakfast / pre-diabetic state will
cause it. Fried fatty food will contribute so also obesity and lac of physical activity.

Question 9

does the new oral anticoagulants cause increase in s,creatinine compared to warfarin which one of them is safe in ckd (s.cr.1.7)?

Accepted Answer

Eliquis best agent: Renal failure effects xaralto more than eliquis and has less gi bleeding

Question 10

goodevening doctors. one year ago my creatinine was 0.66 now its 1.06mg/dl.
for several months i have bordering a1c 5.8. i have treated hypertension, usualy 130/80 althought varations happend. why creatinine level went up? begining of ckd?

Accepted Answer

Concern: If your results are accurate, it is a matter of concern and you should consult a nephrologist to evaluate kidney function and to advise about actions that could forestall further damage.
Wish you good health!

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Doctor answers about:

What foods to avoid if one has ckd

A member asked:

Stage 3 ckd, what foods should be avoided to help prevent progression? pt not diabetic ckd cause still unknown

A member asked:

Good afternoon doctors. how long does it typically take to progress from stage 2 or stage 3 ckd to needing dialysis? can progressing to dialysis be at all avoided, and if so, how could one avoid dialysis?

A member asked:

I had my overnight fasting and my creatinine is 124. normal range is 59-104 umol/l. when i retested my creatinine without fasting, my level is 102.23 umol/l. normal range is 50 -120. why is that? which one is believable? do i have ckd?

A member asked:

With ckd is there a restraint on eating spicy foods?

A member asked:

How often should a person re-check his ckd numbers (stage he's in) per year? is there something one can buy to track the #s at home? thank you!

A member asked:

Hi, at what stage of ckd will the diabetes medicine reduces.i read if one has ckd then at some stage the diabetes med will reduce meaning damage.thx?

A member asked:

Why would there be no low protein section in food store for ckd patients?

A member asked:

What causes triglyceride level to rise in blood in people with ckd? any particular food to blame?

A member asked:

Does the new oral anticoagulants cause increase in s,creatinine compared to warfarin which one of them is safe in ckd (s.cr.1.7)?

A member asked:

Goodevening doctors. one year ago my creatinine was 0.66 now its 1.06mg/dl. for several months i have bordering a1c 5.8. i have treated hypertension, usualy 130/80 althought varations happend. why creatinine level went up? begining of ckd?

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