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My egfr is 55 with protein in urine. Unfortunately, by the time I was diagnosed with diabetes, there was already a small amount of protein in my urine so I have remained relatively well for a long time until the last couple years when it has been a bit more difficult Has anyone else here struggled with both diabetes and kidney disease?
The last 15 yrs of my RN career I was a dialysis nurse so I learned a lot about kidney failure and that diets need to be changed from diabetic diet to kidney diet, they are total oposite, but to preserve your kidneys (and blood pressure) you need to follow Kidney diet instead, diabetes can be regulated with medications, the reverse is not the same, once you have kidney damages it cannot be reversed, you can slow down the progression with diet up to stage 4 kidney failure. Now kidney failure will cause high blood pressure and then high blood pressure will cause kidney failure, they are still debating which came 1st.
Examples of differences in diet :Diabetic nothing white as in rice, bread, pasta, potatoes. Kidney diet is the contrary everything has to be white
Speak to your doctor if a kidney diet would benefit you more as a diabetic to preserve and slow down the progression of kidney failure. A dietician specialize in kidney diet usually also knows diabetic diet as many diabetic become kidney failure.
Hope this helps. You can look up kidney diets with Fresenius and many other kidney failure sites. Some explain the 5 stages of kidney failure and the diet changes to make at each stages. the higher stage you are, the closer you may require dialysis. But I saw patients who had changed their diabetic diet to kidney diet anywhere from 10 to 30 yrs before ending up on diaysis, so it is something to consider. As you progress to stage 5 the kidney diet is extremely restrictive even on fluid intake, so please consult with your doctor and ask to see a specialized Nephrology dietician.
https://www.freseniuskidneycare.com/kidney-dise...
https://www.freseniuskidneycare.com/recipes-and...
5 STAGES OF KIDNEY DISEASE
Stage 1 CKD: Mild kidney damage, eGFR 90 or higher
Stage 2 CKD: Mild loss of kidney function, eGFR 60-89
Stage 3a & 3b CKD: Mild to severe loss of kidney function, eGFR 30-59
Stage 4 CKD: Severe loss of kidney function, eGFR 15-29
Stage 5 CKD: Kidney failure or close to failure, eGFR less than 15
Some testing center do not have eGFR. I believe where I worked we started getting eGFR around 10 yrs ago and this was new, but only done on in hospital patients or else the lab had no clue of the criterias as they only had the creatinine. Before having eGFR we had to make calculation manually with several factor of blood work, actually in pre dialysis unit is where I learned this as their computers had the formula, when I was on light duty I helped in pre dialysis clinic hence knwoing this. I believe some testing centers only show eGFR only when it is below 60. Not all doctors knew the formula as it asks for 4 different criterias which where age, gender, race, creatinine. Therefore labs doing the blood tests do not have all of these criterias. We were a University teaching hospital so at times we had new stuff before many hospitals. I just did a quick check online and those formulas are still being used, something a lab would not be able to do. But you can ask your doctor if you are below 90 as this is when stage 2 begins, but again not all doctors can give you the exact numbers if they do not have the formula and if the lab does not have access to these data.
Yes, I do @A DiabetesTeam Member
@A DiabetesTeam Member do you find it hard as I do trying to follow 2 separate diets that often contradict each other!
My eGFR is 54
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