Dietitian Anuradha: Nutrition & Renal Diseases: Are You Eating Right?
Nutrition is very
important, for treatment of any chronic disease. The question is about
nutrition and renal disease; are you eating right? Challenge becomes bigger
when there is organ damage involved. Kidney is a very crucial organ, which
plays several important functions.
Avoid renal
disease
Before I discuss diet for renal
disease, I wish to talk about how to avoid renal disease.
1. Drink plenty of
water to avoid kidney stones
2. Avoid excess salt,
processed food, keep blood pressure in check
3. Follow balanced
diet and healthy lifestyle including water, exercise and sleep. This will avoid
diabetes.
Please note, diabetes
is one of the leading causes of renal disease.
4. Manage stress,
meditate, enjoy, and include recreational activities.
Renal Disease
and nutritional problems
Diet in renal disease
is based on the issues that are caused by the disease itself. Let’s try to
understand:
1. Since kidney is
unable to excrete urine, water retention in system happens. Water intake can be
maximum 500 ml + amount of urine excreted per day.
2. Kidney has a system
called rennin-angiotensin system which helps in maintaining blood pressure.
Diseased kidney cannot handle this well. Hence, blood pressure fluctuates.
For this reason, salt
restriction is very important.
3. Potassium is very
crucial in renal disease. Sudden increase in potassium can lead to severe
consequences.
Most fruits,
vegetables, pulses, potatoes etc have potassium. Judicious choices are
important as avoiding so many foods can cause deficiencies.
4. Erythropoietin
system in kidney is responsible to maintain Red Blood Cells. Hence managing
hemoglobin will require supplementation in kidney disease.
5. Phosphorus increase
causes calcium loss from bones; the balance needs to be maintained. Hence,
phosphorus rich foods are to be taken judiciously too.
Milk products being
important source are mostly stopped, but they are important for other imp
nutrients too, especially in vegetarian diet.
6. Protein restriction
is most emphasized on. Please try to understand:
i. Chronic disease
causes excessive protein loss in human system.
ii. Indians already
take less protein in diet as compared to their requirement.
iii. Kidney disease
require protein restriction
iv. Protein
Restriction is 70-80% of the person’s ideal requirement, not less than what the
patient is eating.
v. Protein restriction
does not hold for patient on dialysis. In fact, lot of restrictions are relaxed
for patients
7. Since, renal
disease related diet is very restrictive, with good precautions also
deficiencies occur. Supplementations are required with the help of medical
practitioners
Renal Disease
with other disease
Diet in renal disease
is not very easy to frame anyways. When clubbed with other disease like blood
pressure or diabetes, it becomes seriously difficult.
Simple fact, since
proteins are restricted in Renal diet, carb rich diet is ideally given for the
protein sparing action. In diabetic diet, carbs are restricted according to
requirement. Opposite diets – two diseases –one patient. How do we manage?
Cannot write that in
blog, as I do not wish people to follow it and get more sick. Patient will have
to visit a qualified dietitian,
period.
Final Word
If we do not want this
to happen, take care of your health. Chronic disease can be avoided with proper
diet and lifestyle. Prevention is better than cure.
The black mark on your
neck is not dirt it is Acanthosis Nigricans. It means insulin resistance. You
are already heading towards diabetes and eventually kidney disease. STOP NOW.
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