Category Archives: Diet/Nutrition

Good Day Dr. I am 76 year old Male white. Since I am 40 years old, I check yearly. The last lab show a slight rise in Creatinine 1.18 with GFR of 60 (MDRD) and I have Hypertension but under control. My fasting blood sugar 101, no Protein in the Urine. What your advice to me? Dr. Thank you.

I am unable to make a specific diagnosis based on the information that you present.  I am not sure if you have chronic kidney disease (CKD).  It is important that your blood pressure be controlled to less than 130/80.  You … Continue reading

Posted in Ask the Doctor, Diet/Nutrition, Hypertension/High Blood Pressure, Kidney-Related Health Questions

GFR 23 range for last 2 years. Watch protein intake, no dairy, exercise daily (well almost), salt intake range 1500 a day. Looking at Dr. McDougalls plant based diet. Curious as he suggests potatoes & other vegetables that are high in phospahates or potassium. Do the benefits of the plant based diet out weight the concern for potatoes etc.? My counts at this time are phosporus 4.7 mg BUN 45mg & creatinine 2.13 I’m not fond of vegetables so Dr. McDougalls diet – focused on starch as your main course – looks appealing. with bread & potatoes & think I could stay on plant based but not sure safe for CKD.

I have always encouraged a balanced diet and never focusing on a narrow list of foods. The most important part of the diet is to restrict sodium or salt intake. I suggest a limit of 2300 milligrams of sodium intake … Continue reading

Posted in Ask the Doctor, Diet/Nutrition, Kidney-Related Health Questions, Nephrologist

I have secondary FSGS stage 3. Is the ketogenic diet safe for me? I’ve been eating keto for months and feel amazing. I have lost 30lbs and have been able to drop one of my BP meds and my cholesterol meds. Some say keto is bad for the kidneys, are you familiar with this way of eating? I have little to no carbs each day.

The Ketogenic diet has been shown to promote weight loss and may be helpful in lowering your blood pressure. In some cases the Ketogenic diet may lead to malnutrition and this may have to be monitored. If you are eating … Continue reading

Posted in Ask the Doctor, Diet/Nutrition, Hypertension/High Blood Pressure, Kidney-Related Health Questions

My dad has Stage 3 kidney disease and I’m worried that he drinks too many sugary drinks that might be putting too much strain on his kidneys. He drinks 2-4 large Arnold Palmers each day with a mix of lemonade and sweet tea which is probably additional 100g of sugar each day. Can you please give me any recommendations?

I recommend that your father consult with a dietitian and see if there are other alternatives for him to drink. Your father may need other alternatives for his regular drink.

Posted in Ask the Doctor, Diet/Nutrition, Kidney-Related Health Questions

Dear Dr. Spry: I understand that the DASH diet is recommended for those with kidney disease. However, I’m perplexed by the recommendation in the DASH diet that people consume up to 6 servings of meats, poultry, and fish per day (see https://www.nhlbi.nih.gov/health-topics/dash-eating-plan), as my understanding from the scientific literature is that daily protein consumption (particularly from animal sources) should be limited to no more than 0.5 g/kg of body weight, for people with kidney disease. Under the DASH diet, 6 daily servings (even small servings) of animal-source protein would greatly exceed the quota, would it not? (See, for example, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5406621/). Thank you.

I do not recommend very low protein diets for patients with chronic kidney disease (CKD). In the largest prospective controlled trial of low protein diets in patients with moderate to severe CKD, the study did not show a benefit and … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Dialysis, Diet/Nutrition, GFR, Hypertension/High Blood Pressure, Kidney Stones, Kidney-Related Health Questions

I’m male, 48 y/o, weight 139 kg, height 195cm. Creatinine 1.1, eGFR 53.3 Cystatin C test 139, blood pressure 149/100 (pulse 100), sugar blood 182, cholesterol 203, triglyceride 375, uric acid 6.1. I am taking medicine: Twynsta 80/10 (each a day) Gemfibrozyl (each a day) Glucosamine 1500mg/day, fish oil 1 capsule/day. Question: How do I take care of my kidneys? Is it really serious? I have a serious pain in my waist, and always feel too tired. I’m an alcoholic, but after doctors told me I have serious kidney problem, now I only consume 200cc whiskey/day. Thank you.

You have chronic kidney disease and need to follow your doctor’s recommendations. You should stop drinking alcohol, lose some weight, and eat a healthy diet that is low is salt. I recommend the DASH diet. You can review the DASH … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, Diabetes, Diet/Nutrition, Hypertension/High Blood Pressure, Kidney-Related Health Questions

I have calcium oxalate kidney stones. I am reading that Tumeric Curcumin supplements cannot be taken because it is high in oxalates. I also have chronic back pain and had taken the supplement for awhile and it really did help. Not sure if I can continue to take it.

I have no experience with Tumeric Curcumin and kidney stones. I do recommend a low salt DASH diet for anyone with recurrent calcium oxalate kidney stones. I recommend that you review the DASH diet and see if this will help … Continue reading

Posted in Ask the Doctor, Diet/Nutrition, Kidney Stones, Kidney-Related Health Questions

Hello Doctor, I don’t have any kidney related problems. As part of routine health screening, the following reading were observed for Kidney Screening. Is this a concern? Can I get these under control with healthy diet or should I start any medication? Can I go for kidney re-screen after 1 week or when should I go for re-screening? Please suggest diet I should follow. 1. Uric Acid – 10.3 mg/dL 2. Creatinine – 1.0 mg/dL 3. Urea – mg/dL 4. Blood Urea Nitrogen – 5 mg/dL 5. e-GFR Study – 85 mL/min/1.73 sq.m

The only abnormal result that you quote is the uric acid.  A normal result for a serum uric acid is less than 6.0 milligrams per deciliter (mg/dl).  I am not able to comment on treatment unless I am able to … Continue reading

Posted in Ask the Doctor, Diet/Nutrition, Kidney-Related Health Questions

I don’t have kidney disease however I do have a history of calcium oxylate stones and was diagnosed with medulary sponge kidney about 10 years ago. I am a 45YO female, 5’2″, overweight by about 40-60 pounds (clinically obese barely) and would like to get rid of the extra weight. I am being treated for hypertension (controled with low-dose meds), have had my gall bladder removed, and do have some edma in by lower legs. I am looking for a plant-based protein powder that is kidney friendly (and tastes good, is not chalky or too terribly expensive). Do you have any recommendations?

I do not recommend a protein supplement. I recommend that you try a low salt DASH diet. You have kidney disease because you have been diagnosed with medullary sponge kidney and you have kidney stones. The DASH diet has been … Continue reading

Posted in Ask the Doctor, Diet/Nutrition, Kidney Stones, Kidney-Related Health Questions, Medullary Sponge Kidney

Hi doctor, my father is suffering from diabetic nephropathy stage four and hypertensive. My question regarding keto amino acids supplement in addition to low protein diet, does this regime work? Thank you.

The studies with very low protein diets (0.6 grams/kilogram per day) plus keto amino acids has not been shown to reverse kidney disease. In some cases, it may delay dialysis treatments but also may lead to serious malnutrition. I do … Continue reading

Posted in Ask the Doctor, Dialysis, Diet/Nutrition, Kidney-Related Health Questions