Low-phosphorus diet: Best for kidney disease

http://www.mayoclinic.com/health/food-and-nutrition/HQ01212 

Question

Low-phosphorus diet: Best for kidney disease?

Why is a low-phosphorus diet useful in managing kidney disease? What foods contain phosphorus?

Answer

from Erik P. Castle, M.D.

The kidneys help regulate the level of phosphorus in your blood. If your kidney function is impaired, eventually you'll likely have elevated phosphorus levels (hyperphosphatemia). In turn, the elevated phosphorus decreases the level of calcium in your blood, which can lead to bone disease.

Often, 800 to 1,000 milligrams (mg) of phosphorus a day is the limit for someone who has kidney disease. Most healthy adults may eat double this amount.

Nearly every food contains some phosphorus, so you can't eliminate all phosphorus from your diet. Generally foods high in protein (some meats, dairy products, beans, legumes, nuts and seeds) are higher in phosphorus. Therefore, unless you're receiving kidney dialysis, you'll be asked to eat smaller quantities of them. Whole grains also are higher in phosphorus, so choose refined ones.

The following list may help you identify which foods to select.

Instead of these higher phosphorus foods:	Choose these lower phosphorus foods:
Milk, pudding or yogurt (from animals and from many soy varieties)	Rice milk (unfortified) or nondairy creamer
Hard cheeses or Neufchatel cheese	Cream cheese or cottage cheese
Ice cream or frozen yogurt	Sherbet or frozen fruit pops
Soups made with higher phosphorus ingredients (milk, peas, beans, lentils)	Soups made with lower phosphorus ingredients (broth- or water-based with other lower phosphorus ingredients)
Whole grains, including whole-grain breads, crackers, cereal, rice and pasta	Refined grains, including white bread, crackers, cereals, rice and pasta
Quick breads, biscuits, cornbread, muffins, pancakes or waffles	Refined (white) dinner rolls, bagels, English muffins or croissants
Peas (fresh green, split, black-eyed), beans (black, garbanzo, lima, kidney, navy, pinto) or lentils	Green peas (canned, frozen), green beans or wax beans
Starchy vegetables: corn, parsnips, pumpkin or sweet potato	Starchy vegetables: potato, rutabaga or winter squash
Other vegetables: artichokes, asparagus, broccoli, mushrooms, peapods (cooked) or spinach	Other vegetables: cabbage, beets, carrots, celery, cucumbers, eggplant, lettuce, peppers, onions, tomatoes or summer squash
Organ meats, walleye, pollock or sardines	Beef, pork, lamb, poultry or other fish
Fats: cream (including fat-free, half and half), sesame butter (tahini) or sour cream	Fats: butter, margarine, mayonnaise, salad dressing, shortening or vegetable oils
Chocolate	Hard candy or gumdrops
Cola soft drinks.                       Lemon-lime soda, ginger ale or root beer...........

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12-30-2011 ETC...................

Still have these funny feelings in my arm. Will surf web for comments about fistulas and sensations in arm. Got lots done at work over the past two weeks. Very few people there. My goal is to jump on COMPS tomorrow. Found gluten free bread at Earth Fare, along with soy milk, gluten free cereal, etc....

Need to get press and curl. Too tired to sit at the bowl, etc. Now you know that is a shame! Ha ha ha ha ha. Sent out the invitation for the 2012 Bean Family Reunion. Thank you Lord for stamina. Lower back still hurts. Believe it is because of my inflamed hip bursa.

Have many doc visits ahead: colonoscopy, deep teeth cleaning, epo shots, DEXA of hip, quarterly scan of colon @ CCI! Well the Lord's got this! :-). Better him than me worrying! I thank God for chiropractor, Dr. O, and staff at Rocket City Chiropractor! They keep me aligned. Does make a big difference. April 2012 will be two years of chiropractic care.

Wonder if others get lots of muscle cramps? I mean everywhere, legs, arms, neck, stomach, ribs, etc. Not a pleasant thing. But if I only drink water they are few and far between. Got to stay on my water regiment and leave the potato chips alone!

Writing this journal does help. Hope it encourages others in the same situations. I loved when I would talk to nursing students about how to care for Lupus patients. I guess this medium will reach more people. Love these raisins from Earth Fare!

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EXTREMELY TIRED TODAY! 12-29-2011

I went to bed on time.  But, I am extremely tired.  I am taking all the right things (iron, pro-renal vitamins, etc.) to ensure I have the strength to do everyday things.  It is indeed getting harder and harder.  Read about more people who have started the dialysis and who say they feel so much better after dialysis.  But, I am still hesitant about starting dialysis because some research says it is better to wait until your kidney dysfunction is at the 10% mark.  The person survives better and longer.  I may have to have another consultation with the nephrologist and discuss my options again.  I originally wanted the peritoneal dialysis where the port is attached to your abdomen.  But now I have the fistula installed.  Will seek peritoneal as my first choice for dialysis. 

 

I am too tired to get up from this desk and walk to the bathroom.  This is so ridiculous!   

Well I did go to the bathroom.  Thank you Lord for stamina! 

 

I have not written on my COMPS for two weeks.  Just too tired to concentrate.  Not complaining.  Just find relief in typing what I think.  I have so much to thank God for.  I actually ate lunch today.  Irv brought me a grilled chicken salad from McDonald's.  I did not eat lunch on Tuesday and Wednesday.  I was toooo tired and tooooo proud to ask someone to assist me.  I thank God for those he has placed in my path that helps with getting my lunch.  They are definitely instruments of God.  Have no idea how much they help.  Probably think I'm lazy.  That's the problem with having hidden illnesses like chronic kidney disease and Lupus.  No one really knows when you are really sick, hurt a lot, etc.  You form a wall to hide it as long as you can.  I know others can empathize with what I am saying.  you really do not want to worry people.  And if you report every ailment - they will label you a hypochondriac or a chronic complainer.  So it's better for all to keep it to yourself, sometimes.  I share rarely and only a little.  I feel guilty when others worry about it (like my family for sure). 

 

Well Lord, thanks for allowing me to rant and tell you how I feel.  I leave it in your hands to handle.  Don't know why I keep picking it up.  LOVE YOU LORD!

Your servant!

 

No Excuse - A Philosophy for SUCCESS!
Mrs. Janice Mitchell Isbell
http//:www.janiceisbell.com

Kidney Disease and Celiac Disease

http://www.celiac.com/categories/Celiac-Disease-Research%3A-Associated-Diseases-and-Disorders/Kidney-Disease-and-Celiac-Disease/

.....summaries of research articles that deal with kidney disease and it's association with celiac disease. Most of the articles are research summaries that include the original source of the summary.

Get it done!

 

REMEMBER! CALL IT BACK TO YOUR MEMORY FOR ENCOURAGEMENT!

 

Basic Bladder Cancer Symptoms That Ought To Be Given Instantaneous Medical Assistance - http://ezinearticles.com/?Basic-Bladder-Cancer-Symptoms-That-Ought-To-Be-Given-Instantaneous-Medical-Assistance&id=6774981

Well, 

I was interested in this article because of fat spots on liver.  I was told this after the surgery to remove  the cancer from my colon.  Hmmmmmm!

The bladder is a vital part of our urinary system. This hollow, elastic body organ collects the urine from the kidneys before disposal. Bladder cancer is often a ailment that builds up within the organ tissues. It occurs as soon as cancerous cells grow and impinge on all or any layers in the bladder.

Bladder cancer causes are usually not clear. Health experts, nevertheless, identify the following issues as risks of obtaining the disease.

- Bladder cancer could happen in any age but the majority of cases demonstrate that it starts to appear in the age of forty.

- White races are often more prone to this particular cancer compared to other races.

- Men have greater risk of having it as compared to women.

- Smoking harms the lining of your bladder. That is due to the harmful chemical substances found in cigarette. When you smoke, there are more chances of obtaining the disease.

- Chemicals such as arsenic can induce the risk of bladder cancer. Kidneys filter most of these hazardous elements from the bloodstream and pass them on to the bladder.

- Radiation therapies and cancer prescription drugs employed in the treatment of a previous cancer also increase the possibilities of obtaining the illness.

- Serious urinary issues can possibly cause squamous cell bladder cancer.

- Cancer history in the family can be another factor.......

Article Source: http://EzineArticles.com/6774981

--

JANICE MITCHELL ISBELL

http://www.janiceisbell.com

Kidney Disease and Alkaline, Ionized Water - http://ezinearticles.com/?Kidney-Disease-and-Alkaline,-Ionized-Water&id=3146084

According to the US National Kidney Foundation, 1 in 9 Americans have Chronic Kidney Disease. Scientific studies show that at least 75% of Americans are dehydrated enough that it affects their health in a negative way, so for those 1 in 9, it has developed into kidney disease. In my article The Kidneys And Alkaline, Ionized Water, I explain what the kidneys do in the body and how dependent they are on water for their efficient and normal function. So now what happens if you have reduced kidney function because of chronic dehydration and acidosis?.....
Article Source: http://EzineArticles.com/3146084

--

JANICE MITCHELL ISBELL

http://www.janiceisbell.com

Happy Holiday with Family!!!!

It's a beautiful day. At son's house for Christmas day festivities!
My left hip bursar and the scar from the fistula installation are very irritating today!
But I am determined to enjoy today's festivities !!!
Fried Turkey, potato salad, greens, Hawaiian rolls, Fruit bowl, etc.
Know I must be careful in what I eat!
Have lots of water.
Have to be careful. Soda and juice aggregates my gout.
The gout is caused by the Cellcept taken to slow down the Lupus Kidney Disease.
Hmmm,m
Glad God brought me another year safely through!

THANK U JESUS!

Merry Christmas and Happy Hanukkah!

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U R LOVED!

Enjoy your holidays!

Have a wonderful 2012!

--

JANICE MITCHELL ISBELL

http://www.janiceisbell.com

Well well well a very busy day!

Haven't written since Tuesday. All is well.
Actually shooped two days in a row and I lasted.
But at the end I sat in the car til it was time to pay for the items,
then I went in and paid.
Loved shopping with my Boobies.

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Kidney IQ Quiz. http://www.medicinenet.com/kidney_disease_quiz/quiz.htm

Really tired this weekend. BUT GOD'S STILL ALIVE IN MY LIFE!

No tutoring this weekend.  In both Saturday and Sunday, except for church on Saturday night.  I am putting forth much more effort to change my diet to match those recommended for persons with chronic kidney disease.  I had two things I wanted to do but lacked any motivation due to my tiredness.  Am over my fear in regard to my fistula.  God has kept me thus far and I can't expect anymore than what he promised.  I thank him for finding me worthy of this journey.  I believe in healing but do believe my faith way (just as others before me) is a testament to God.  He takes nothing and makes something.  I believe the fact that after approximately 30 years I was able to stop taking prednisone.  I thank God for that.  I thank him for keeping me when I had colon cancer.  I thank him for helping the doctors diagnose this after a year of suffering.  I thank him for getting me through many surgeries.  I always rise from the ashes.  He is a good God! 

     Do miss that I can't just take off work and be with my grandkids.  Too exhausted.  But I am focusing more on my diet.  It is hard to find a diet for CKD, gluten free, no dairy, no chocolate, etc etc etc etc.  Must be low in phosphorus also.  Hmmmmm a lot to contemplate but I do believe God is always on time.  Have many exercise buddies and so now no excuse not to exercise.  Time again for my annual colonoscopy.  URG!  But a woman's got to do what a woman's got to do.  Better safe than sorry.  Now their telling me my teeth may come out due to gum disease.  UGH!  But I will roll with the punches.  THANK U JESUS FOR HOPE FOR TOMORROW AND STRENGTH FOR TODAY!

 

ng More Than 15% Body Weight Significantly Boosts Vitamin D Levels in Obese Women

http://www.aakp.org/newsletters/diet/June-2011/vitamin-D/

 

Overweight or obese women with less-than-optimal levels of vitamin D who lose more than 15% of their body weight experience significant increases in circulating levels of this fat-soluble nutrients.

The year-long study involved 439 overweight-to-obese, sedentary, postmenopausal Seattle-area women, ages 50 to 75, who were randomly assigned to one of four groups: exercise only, diet only, exercise plus diet and no intervention.

Those who lost 5 percent to 10 percent of their body weight - equivalent to approximately 10 to 20 pounds for most of the women in the study - through diet and/or exercise saw a relatively small increase in blood levels of vitamin D, whereas women who lost more than 15 percent of their weight experienced a nearly threefold increase in vitamin D independent of dietary intake of the nutrient.

It is thought that obese and overweight people have lower levels of vitamin D because the nutrient is stored in fat deposits. During weight loss, it is suspected that the vitamin D that is trapped in the fat tissue is released into the blood and available for use throughout the body.................

ADDITIONAL INFO.

Patients with CKD are encouraged to limit protein intake to 0.8g/kg body weight, the RDA for protein for all adults.

http://www.aakp.org/newsletters/KB-The-Magazine/Diet-Tips-&-Bits/Limiting-Protein-Intake/index.cfm

 

Recommended amounts of protein range from 0.6-0.8 grams of protein per kilogram of desired body weight.

http://www.aakp.org/aakp-library/prolong-kidney-function-through-diet/index.cfm

 

High Sodium Foods:

http://www.aakp.org/aakp-library/prolong-kidney-function-through-diet/index.cfm
• Canned soup
• Processed meats such as bacon, sausage, ham and luncheon meats
• Cheese
• Chicken purchased as ready-to-eat
• Most turkey, unless fresh when purchased
• Seasoned salt, garlic salt, onion salt, etc.
• Canned vegetables
• Snacks such as popcorn, chips, crackers
• Pickles and olives
• Bouillon cubes or granules
• Canned, boxed or frozen foods

 

Which Modality is Right for You?

http://www.dialysispatients.org/tools-which-modality-is-right-for-you

While many people learn suddenly that they have kidney failure, or end stage renal disease (ESRD), chronic kidney disease (CKD) happens over time. For those who know they will be facing kidney failure, they have time to learn about the treatment choices, or modalities, available and prepare. Whether a person has months to prepare or needs to make a sudden decision about which modality is right, his or her doctor or nephrologist (doctor specializing in kidney care) will help educate and guide............................

Too Much of a Good Thing: Limiting Protein Intake in Chronic Kidney Disease

http://www.aakp.org/newsletters/KB-The-Magazine/Diet-Tips-&-Bits/Limiting-Protein-Intake/index.cfm

By Lesley L. McPhatter, MS, RD, CSR Controlling blood pressure and limiting the loss of protein in the urine (proteinuria) are the cornerstones of treatment in the progression of chronic kidney disease (CKD). Controlling blood pressure is best achieved by maintaining an appropriate body weight for height, limiting sodium (salt) intake in the diet, exercise and taking appropriate blood pressure medicines. Limiting protein in the diet may be useful in decreasing protein losses in the urine. Protein restriction limits phosphorus intake and total calorie intake which may help slow disease progression................

Understanding your hemodialysis access options

http://www.aakp.org/library/attachments/understanding%20your%20hemodialysis%20access%20options%20eng.pdf

 

THIS IS AN EXCELLENT DOCUMENT FROM AAKP!

 

Hemodialysis, is the most often used treatment for end-stage renal disease

(ESRD), more commonly known as kidney failure. During a hemodialysis

treatment, a machine pumps blood from your body by way of a flexible,

plastic tube, cleans it and then returns it to your body through a separate

tube. In order to perform hemodialysis, an access must be created. An

access is a site from which blood can be safely removed and returned to

your body. The access site is often referred to as your "lifeline."

 

There are two types of dialysis accesses. The first kind involves the creation

of a permanent connection between an artery and a vein under the skin. The

two kinds of permanent accesses, fistulas and grafts, are used for patients

with renal failure who are expected to need long-term dialysis treatment.

Fistulas and grafts are usually placed in the arm, but they may also be

placed in the leg. They are surgically placed a few months before dialysis

is scheduled to begin in order to allow for the site to heal and develop

properly.

 

The other type of access involves the direct placement of a tube into

a large vein in the neck, chest or groin. As described in this brochure,

catheters are most appropriately reserved for patients needing short-term

dialysis or patients on long-term dialysis who no longer have a place to

insert a fistula or graft.............................

 

 

 

 

The Advantages of Fistulas http://www.aakp.org/aakp-library/Access-Options/

The Advantages of Fistulas
• Last a long time – years, not weeks or months as other accesses
• Few infections
• Fewer hospitalizations
• Better blood flow for better dialysis
• Least chance of clotting
• Preferred type of access

Learn a lot today on my Renal Journey

The following is a lot to digest but the following must be investigated.
Low protein diet or vegetarian diet.
Loosing weight.
Starting dialysis as late as possible.

Thank u god for more assuring information!

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High BMI and Kidney Transplant Waitlisting

This article was sent to you by: janice_isbell@hotmail.com

High BMI and Kidney Transplant Waitlisting
Many obese dialysis patients are asked to lose weight to qualify for kidney transplantation. If such usual weight reduction programs as dieting or anti-appetite medications do not work, some patients will be introduced to more aggressive interventions such as bariatric surgery.

Read the full article here:
High BMI and Kidney Transplant Waitlisting

Should We Start Dialysis As Late As Possible?

This article was sent to you by: janice_isbell@hotmail.com

Should We Start Dialysis As Late As Possible?
Traditional nephrology training makes us believe that it is good practice to start maintenance dialysis therapy sooner rather than later. Nevertheless, recent data indicate that we may encounter yet another "old-practice-was-wrong" paradigm shift.

Read the full article here:
Should We Start Dialysis As Late As Possible?

Reduced Renal Function Raises Risk of Serious Infections

This article was sent to you by: janice_isbell@hotmail.com

Reduced Renal Function Raises Risk of Serious Infections
Decreased kidney function places elderly individuals at higher risk of infection- related hospitalization, according to a study.

Read the full article here:
Reduced Renal Function Raises Risk of Serious Infections

Inflammatory Markers Predict Risk of Chronic Kidney Disease

This article was sent to you by: janice_isbell@hotmail.com

Inflammatory Markers Predict Risk of Chronic Kidney Disease
Elevated levels of certain inflammatory markers are associated with an increased risk of developing chronic kidney disease (CKD), a study found.

Read the full article here:
Inflammatory Markers Predict Risk of Chronic Kidney Disease

Chronic Kidney Failure

http://healthtools.aarp.org/galecontent/chronic-kidney-failure-1/1 

Most symptoms of chronic kidney failure are not apparent until kidney disease has progressed significant- ly. Common symptoms include:

• Anemia. The kidneys are responsible for the production of erythropoietin(EPO), a hormone that stimulates red cell production. If kidney disease causes shrinking of the kidney, this red cell production is hampered.
• Bad breath or a bad taste in mouth. Urea in the saliva may cause an ammonia-like taste in the mouth.
• Bone and joint problems. The kidneys produce vitamin D, which aids in the absorption of calcium and keeps bones strong. In patients with kidney failure, bones may become brittle, and in children, normal growth may be stunted. Joint pain may also occur as a result of unchecked phosphate levels in the blood.
• Edema. Puffiness or swelling around the eyes and legs.
• Frequent urination.
• Foamy or bloody urine. Protein in the urine may cause it to foam significantly. Blood in the urine may indicate bleeding from diseased or obstructed kidneys, bladder, or ureters.
• Headaches. High blood pressure may trigger headaches.
• Hypertension, or high blood pressure. The retention of fluids and sodiumcauses blood volume to increase, which, in turn, causes blood pressure to rise.
• Increased fatigue. Toxic substances in the blood and the presence of anemia may cause feelings of exhaustion.
• Itching. Phosphorus, which is typically eliminated in the urine, accumulates in the blood of patients with kidney failure. This heightened phosphorus level may cause itching of the skin.
• Low back pain. Pain where the kidneys are located, in the small of the back below the ribs.
• Nausea, loss of appetite, and vomiting. Urea in the gastric juices may cause upset stomach. This can lead to malnutrition and weight loss.

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4 Love is patient, love is kind. It does not envy, it does not boast, it is not proud.

 

Journey today!

Still tired.  Am on my renal vitamins along with Omega capsules. But my joy is brighter and stronger than ever.  I press on toward the prize.  Still doing my thing with the help of the Lord!  I enjoy hearing the stories of those who survive all types of mountains, struggles and insurmountable situations.  Would like to share my strength to encourage others.  Although fearful, I am very hopeful on this RENAL JOURNEY!  Have struggled with Lupus Kidney Disease since 1989 and still going.  I thank God for his Grace and Mercy.  I took lots of pictures journaling my journey of healing of the fistula installed in left arm.  Not sure if I should share them.  But I was so glad to see others on the internet to know the process was comparatively normal.  This arm hurt so bad during the healing process that I could not even think.  But it healed by the grace of God.  Have the scar.  Really concerned because this process brings the vain  that much closer to the surface skin.  Hmmmmm Guess I shared that concern too much.  Moving on.  In his care.  Will be extremely careful.

Working on my COMPS.  Keep me Lord.  Give me clarity of mind.  I cry out to you for your wisdom and direction.  THANK U JESUS!

TRUST GOD! BE STILL IN YOUR SPIRIT! PRESS FORWARD WITH CONFIDENCE AND ASSURANCE!

 

Nutrition and Dialysis http://www.kidney.org/atoz/pdf/nutri_hemo.pdf

Great info. The more I know the more dangerous I am. Ha ha hahhhaaa

What is your stage of kidney disease?
There are five stages of kidney disease. They are shown in the table below. Your doctor determines your stage of kidney disease based on the presence of kidney damage and your glomerular filtration rate (GFR), which is a measure of your level of kidney function. Your treatment is based on your stage of kidney disease. Speak to your doctor if you have any questions about your stage of kidney disease or your treatment.

Stages of Kidney Disease. Stage. Glomerular Filtration Rate (GFR)*
1 Kidney damage (e.g., protein in the urine) with normal GFR. 90 or above
2 Kidney damage with mild decrease in GFR. 60 to 89
3 Moderate decrease in GFR. 30 to 59
4 Severe reduction in GFR. 15 to 29
5 Kidney failure. Less than 15
*Your GFR number tells your doctor how much kidney function you have.
As chronic kidney disease progresses, your GFR number decreases.

.....

Amount of Dialysis You Receive
Every month, tests will be used to determine if you are getting the right amount of dialysis to keep you in good health. Blood is tested at the beginning and the end of one of your dialysis treatments. You may also be asked for a urine sample. This information will provide a way to measure dialysis, called Kt/V (pronounced "kay tee over vee") and urea reduction ratio (urr). A low Kt/V (or a low URR) may mean that you are not getting enough dialysis. Low amounts of dialysis can keep you from feeling, sleeping or eating well. To keep your Kt/V and URR levels as high as possible, it is very important to come to all of your treatment sessions and stay for the full treatment time as ordered by your doctor.

.....

Serum Creatinine
Creatinine ("cre-at-i-nine") is a waste product in your blood that comes from the normal function of your muscles. Your creatinine level may rise as your kidney function falls. Creatinine levels can be lowered during dialysis and by any remaining kidney function. Creatinine can also be lowered by not eating enough calories and protein, as well as by weight loss. If your creatinine level is decreasing, ask your doctor or dietitian whether this change is related to your diet, your dialysis or your kidney function.

.....
Janice M. Isbell
www.janiceisbell.com

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Hmmmmmmmmmm!!!!!!!!

This article is very alarming. I get EPO shots every two weeks as needed. Hmmmmmmm
I am a COLON CANCER SURVIVOR!
Not sure if I should suspect the EPO or my intolerance to GLUTEN!

:-).

Blood protein EPO involved in origin and spread of cancer
http://ki.se/ki/jsp/polopoly.jsp?l=en&d=130&a=133831&newsdep=130

[PRESS RELEASE 5 December 2011] Researchers at Karolinska Institutet have demonstrated that a growth hormone, PDGF-BB, and the blood protein EPO are involved in the development of cancer tumours and that they combine to help the tumours proliferate in the body. These new preclinical findings offer new potential for inhibiting tumour growth and bypassing problems of resistance that exist with many drugs in current use. The results are published in the scientific journal Nature Medicine...........

Janice M. Isbell
www.janiceisbell.com

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The Hemodialysis Diet Versus The Peritoneal Dialysis Diet
By Maria Karalis, MBA, RD, LD

http://www.aakp.org/print-version/dsp_library_art.cfm?art=163

Nutrition is an important part of your dialysis treatment plan whether you are on hemodialysis (HD) or peritoneal dialysis (PD). To give forth your best in all aspects of your lifestyle, you need to make an effort to maintain yourself by eating enough of the right kinds of foods or less restricted foods.........

............l

Fluids

Healthy kidneys maintain fluid balance and prevent swelling in feet, ankles, legs, hands or face. When the kidneys lose their ability to get rid of extra fluid, excess water can raise blood pressure, cause strain on the heart and make it hard to breathe.

The fluid allowance for HD is determined by the amount of urine produced in a 24-hour period. Most people are limited to 700-1000 ml of fluid per day plus urine output. For example, if you urinate 500 cc, your total daily fluid allowance would be 1200 cc (500 + 700)......

Hemodialysis Peritoneal Dialysis

Protein Based on needs Based on needs; protein needs higher than HD

Calories Based on needs Based on needs; focus is on less sweets/fats to

prevent unwanted weight gain from dextrose

in dialysate

Potassium Limited Not usually limited

Phosphorus Limited Limited

Sodium Limited Limited

Fluid Limited Limited but can be more liberal than HD

Janice M. Isbell
www.janiceisbell.com

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AV FISTULA

I uploaded those pics to describe what I have!

Janice M. Isbell
www.janiceisbell.com

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Janice M. Isbell
www.janiceisbell.com

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Another Day! Thank You Lord!

I wonder if my arm will distort like the fistula in you tube video.
My vain has repositioned itself near my skin. Worry if I would cut myself and bleed to death, although remote. Just thinking! Working on COMPS. Must pass.
Trying to make sure I am not crippled about thoughts about dialysis.
Focusing on COMPS!
So very tired everyday. When is when?
Now wonder when should I say yes to dialysis!
Lots of prayers and gospel music to encourage my Spirit!

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Janice M. Isbell
www.janiceisbell.com

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Learned more info re fistulas.

Today was like any other day when I go to the nephrologist. Told creating up. Kidney function is 15 % Dialysis is done when your function is 10% it is 11:43 p.m., Monday, Dec 5th and I can't sleep. But this night I searched the Internet for fistulas and renal failure. Saw some gross pictures. But I am still believing God throughout this process. Learned many things tonight about the care of the fistula. Always tired. Maybe it's time to re reconsider dialysis. I have taken the first step. I have the fistula. Also dealing with chronic sinus infections due to allergies. Dizzy, light-headed, lots of drainage.

Janice M. Isbell
www.janiceisbell.com

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My Renal Journey from this point forward

It is amazing what the Lord has allowed in terms of medical advancements. More to come! Janice