2017年2月24日星期五

Eating, Diet, and Nutrition for Dialysis Patients


Eating the right foods can help you feel better when you are on dialysis or have a kidney transplant. Staying healthy with kidney failure requires watching how much of these elements are included in your diet:
Protein is in many foods you eat. Protein is in foods from animals and plants. Most diets include both types of protein. Protein provides the building blocks that maintain and repair muscles, organs, and other parts of the body. Too much protein can cause waste to build up in your blood, making your kidneys work harder. However, if you are on hemodialysis or peritoneal dialysis, you need lots of protein to replace the protein that dialysis removes.
Dietary Notes for Kidney Disease Patients During Eid-Ul Fitr
Phosphorus is a mineral that keeps your bones healthy. Phosphorus also keeps blood vessels and muscles working. This mineral is found naturally in foods rich in protein, such as meat, poultry, fish, nuts, beans, and dairy products. Phosphorus is also added to many processed foods. You need phosphorus to turn food into energy; however, too much can cause your bones to weaken.
Water is in drinks and in foods such as fruits, vegetables, ice cream, gelatin, soup, and popsicles. Your body needs water; however, too much can cause fluid to build up in your body and make your heart work harder.
Is Peanut Butter Available for Stage 4 Chronic Kidney Failure Patients
Sodium is a part of salt. You can find sodium in many canned, packaged, and fast foods and in seasonings and meats. You need sodium to help control the amount of fluid in your body; however, too much can cause high blood pressure.
Potassium is a mineral that helps your nerves and muscles work the right way. Potassium is found in fruits and vegetables such as oranges, bananas, tomatoes, and potatoes. You need potassium for healthy nerves and brain cells; however, too much can make your heartbeat irregular.
Is Pears Available for Chronic Kidney Disease Patients?
Calories are found in all foods and are especially high in oils and sugary foods. You need calories for energy; however, too many can cause weight gain and high blood sugar.
Talk with your clinic’s renal dietitian to find a meal plan that works for you. Each treatment requires a different diet. If you are on hemodialysis, you have to stay away from foods such as potatoes and oranges because they have lots of potassium. If you are on peritoneal dialysis, eating potassium is fine. Instead, you may need to watch your calories. Your food needs will also depend on your weight and activity level.
Changing your diet may be hard at first. Eating the right foods will help you feel better. You will have more strength and energy. Having more energy will help you live a fuller, healthier life.
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Kidney Failure


What is kidney failure and how is it treated?

How to Reverse Stage 4 Kidney Failure and Avoid Dialysis

Kidney failure means your kidneys no longer work well enough to do their job. You need treatment to replace the work your damaged kidneys have stopped doing. The treatments for kidney failure are

1. Hemodialysis
2. Peritoneal dialysis
3. A kidney transplant

Your kidneys filter wastes and extra fluid from your blood to keep you healthy. The wastes and extra fluid become urine that is stored in your bladder until you urinate. When your kidneys fail, dialysis can take over a small part of the work your damaged kidneys can no longer do. You can make treatments work better by

sticking to your treatment schedule
taking all medicines your doctor prescribes
following a special diet that keeps wastes from building up in your blood
being active most days of the week

How will kidney failure affect my life?

Do You Know Those Diseases Are Caused By Kidney Failure?

Kidney failure will affect your life in many ways. You may find you cannot do all the things you used to do at home or at work. You may have less energy and may feel depressed. Physical problems may include

Ankle or belly swelling
Stomach sickness
Throwing up
Loss of appetite
Feeling tired
Weakness
Confusion
Headaches

Having kidney failure does not have to take over your life. Having kidney failure does not have to mean giving up hobbies, work, social activities, or time with family.

What Therapy Can Improve Chronic Kidney Failure with 15% Renal Function

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2017年2月22日星期三

Diabetic nephropathy Overview

Related Article:

How Does Diabetes Damage Kidneys

Diabetes is a disease that occurs when your blood glucose, also called blood sugar, is too high. Over time, having too much glucose in your blood can cause health problems, such as heart disease, nerve damage, eye problems, and kidney disease. You can take steps to prevent diabetes or manage it.
As of 2014, 29.1 million people in the United States, or 9.3 percent of the population, have diabetes. One in four people with diabetes don’t know they have the disease. An estimated 86 million Americans aged 20 years or older have prediabetes.
Diabetic nephropathy is a serious kidney-related complication of type 1 diabetes and type 2 diabetes. It is also called diabetic kidney disease. Up to 40 percent of people with diabetes eventually develop kidney disease.
Diabetic nephropathy affects the ability of your kidneys to do their usual work of removing waste products and extra fluid from your body. The best way to prevent or delay diabetic nephropathy is by maintaining a healthy lifestyle and treating your diabetes and high blood pressure.
Over many years, the condition slowly damages your kidneys' delicate filtering system. Early treatment may prevent or slow disease progression and reduce the chance of complications.

Your kidney disease may progress to kidney failure, also called end-stage kidney disease. Kidney failure is a life-threatening condition. At this stage your treatment options are dialysis or a kidney transplant.
Chinese Treatment for Early Stage Kidney Damage from Diabetes

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2017年2月21日星期二

Nephrotic syndrome

Related Article:

Patients Recover from Nephrotic Syndrome within One Month
How to Treat Nephrotic Syndrome with Natural Treatment
How to Treat Relapsing Nephrotic Syndrome


1. What is nephrotic syndrome?
Kidney is the body's excretory organs, filter the body of harmful substances in the blood, but to retain the material beneficial to the body. If the renal filtration barrier is damaged, then the selective filtration of substances in the blood to reduce, will result in the blood of the beneficial protein from the exclusion of urine, proteinuria, and hypoproteinemia. Due to hypoglycemia caused by intravascular colloid osmotic pressure decreased, the water from the blood vessels overflow, resulting in edema. At the same time due to hypoproteinemia, liver compensatory synthetic protein and lipid substances will cause increased blood lipids.
2. Is nephrotic syndrome serious?
Nephrotic syndrome is only a clinical manifestation, according to the pathological changes of the kidneys can be divided into many types, such as membranous nephropathy, minimal lesions, focal segmental glomerular sclerosis, different causes of nephrotic syndrome , The severity is not consistent. Such as small lesions of kidney disease, generally sensitive to hormones, long-term remission after treatment; and focal segmental glomerular sclerosis in patients with hormone response may be poor, proteinuria does not alleviate the need for long-term use of hormones. Therefore, if no contraindications, the general recommendations of renal biopsy, a clear diagnosis.

3. What causes kidney disease syndrome?
Etiology is unknown, it is generally believed that nephrotic syndrome may be due to the body's immune function disorders, resulting in the body's self-attack on the kidneys (their own people play their own), or because of some incentives (such as colds, diarrhea, etc.) A substance damage the glomerular, causing the glomerular filtration barrier damage.
4. What are the symptoms of nephrotic syndrome?
Nephrotic syndrome is the most common swelling, usually for the lower extremity depression edema, some patients may be oliguria. Water accumulation in the body, will lead to short-term weight gain.

5. What should I do with nephrotic syndrome?
First, blood biochemical tests, usually fasting blood, the main check the blood albumin levels, blood lipids. Some patients should check the blood clotting conditions (such as D-dimer), nephrotic syndrome in patients due to loss of water, and liver compensatory synthetic lipids increased, causing blood in a hypercoagulable state, the so-called "blood thick" Leading to increased risk of thrombosis, and other urine, 24-hour urine protein quantitative. If there is no contraindications, the need for renal biopsy clear diagnosis.
6. What is the diagnostic criteria for nephrotic syndrome?
Nephrotic syndrome is a group of clinical syndrome, including a large number of proteinuria (> 3.5g / 24h), low albuminemia (plasma albumin <30 g / L), edema and hyperlipidemia. Which a large number of proteinuria and hypoalbuminemia is a must.
7. Is there a need for renal biopsy in nephrotic syndrome?
Because nephrotic syndrome is only clinical manifestations, etiology and diversity, primary nephrotic syndrome, including membranous nephropathy, minimal lesions, focal segmental glomerulosclerosis, and a large number of proteinuria IgA nephropathy; secondary kidney disease Syndrome, such as diabetic nephropathy, lupus nephritis and renal amyloidosis. Because these different causes of nephrotic syndrome caused by its treatment is inconsistent, therefore, for unexplained nephrotic syndrome suggest renal biopsy clear pathology changes.

8. What are the common complications of nephrotic syndrome?
Common complications are:
(1) infection (related to malnutrition, immune dysfunction, and the use of immunosuppressive agents).
(2) thrombosis (liver synthetic lipid substances increased, anticoagulation and coagulation associated with the imbalance).
(3) hyperlipidemia (high cholesterol is mainly due to increased liver synthesis, high triglycerides are mainly due to the reduction of decomposition).
(4) malnutrition (long-term loss of plasma protein) and so on.
9. Can nephrotic syndrome be cured?
Because the cause of nephrotic syndrome is not entirely clear, and contains a variety of pathological changes, therefore, can not simply determine whether the cure of nephrotic syndrome. Some patients (pathological changes to minor lesions) can achieve complete remission, and can no longer take immunosuppressive agents. But some patients, long-term proteinuria, a variety of immunosuppressive combination of poor efficacy, poor prognosis. So the prognosis of nephrotic syndrome is quite different, it is difficult to determine the prognosis in the onset.

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Symptoms: Protein in urine

Symptoms: Protein in urine

Definition
How to Improve Protein Urine in CKD with Natural Treatment
Protein in urine — known as proteinuria (pro-tee-NU-ree-uh) — is any excess amount of protein found in a urine sample. Protein is one of the substances identified during urinalysis, a test to analyze the content of your urine.
Low levels of protein in urine are normal. Temporarily high levels of protein in urine aren't unusual either, particularly in younger people after exercise or during an illness. If a urinalysis shows you have protein in your urine, you might have a follow-up test that determines how much protein is present and whether it's a cause for concern.
If you have diabetes, your doctor may check for small amounts of protein in urine — also known as microalbuminuria (my-kroh-al-byoo-min-U-ree-uh) — once or twice each year. Newly developing or increasing amounts of protein in your urine may be the earliest sign of diabetic kidney damage.


How will I know if I have protein in my urine?
Is Protein Urine in Chronic Kidney Disease Reversible

When your kidneys are first starting to have problems, and you do not have a lot of protein in your urine, you will not notice any symptoms. The only way to know if you have protein in your urine is to have a urine test. The test for protein in the urine measures the amount of albumin in your urine, compared to the amount of creatinine in your urine. This is called the urine albumin-to-creatinine ratio (UACR). A UACR more than 30 mg/g can be a sign of kidney disease.
When your kidney damage gets worse and large amounts of protein escape through your urine, you may notice the following symptoms:
Foamy, frothy or bubbly-looking urine when you use the toilet
Swelling in your hands, feet, abdomen or face
If you are having these symptoms, your kidney damage may already be severe. Talk to your health care provider immediately about what may be causing your symptoms and what treatment is best for you.


When to see a doctor
Improve Protein Urine in CKD
If urinalysis or another urine test has revealed protein in your urine, ask your doctor whether you need further testing. Protein in urine can be temporary, so your doctor may recommend a repeat test first thing in the morning or a few days later.
Your doctor may order other tests, such as a 24-hour urine collection, to determine if there is a cause for concern.

2017年2月19日星期日

a brief introduction to Diabetes


Diabetes is a disease that occurs when your blood glucose, also called blood sugar, is too high. Over time, having too much glucose in your blood can cause health problems, such as heart disease, nerve damage, eye problems, and kidney disease. You can take steps to prevent diabetes or manage it.
As of 2014, 29.1 million people in the United States, or 9.3 percent of the population, have diabetes. One in four people with diabetes don’t know they have the disease. An estimated 86 million Americans aged 20 years or older have prediabetes.
Diabetic kidney disease
What Are Symptoms of Diabetic Kidney Disease
Once your kidneys have been damaged by diabetes, they cannot be fixed. If diabetic kidney disease is not treated early, it can lead to kidney failure.
Diabetic kidney disease does not happen fast. Sometimes it takes many years. This means that you can take steps now to help protect your kidneys. Even if your kidneys are already damaged, you can control your diabetes to help keep them from getting worse.
You will not be able to feel if diabetes has harmed your kidneys. The only way to know is to be tested.

Symptoms
Diabetes symptoms vary depending on how much your blood sugar is elevated. Some people, especially those with prediabetes or type 2 diabetes, may not experience symptoms initially. In type 1 diabetes, symptoms tend to come on quickly and be more severe.
Some of the signs and symptoms of type 1 and type 2 diabetes are:
Increased thirst
Frequent urination
Extreme hunger
Unexplained weight loss
Presence of ketones in the urine (ketones are a byproduct of the breakdown of muscle and fat that happens when there's not enough available insulin)
Fatigue
Irritability
Blurred vision
Slow-healing sores
Frequent infections, such as gums or skin infections and vaginal infections
Although type 1 diabetes can develop at any age, it typically appears during childhood or adolescence. Type 2 diabetes, the more common type, can develop at any age, though it's more common in people older than 40.
When to see a doctor
If you suspect you or your child may have diabetes. If you notice any possible diabetes symptoms, contact your doctor. The earlier the condition is diagnosed, the sooner treatment can begin.
If you've already been diagnosed with diabetes. After you receive your diagnosis, you'll need close medical follow-up until your blood sugar levels stabilize.

Causes
To understand diabetes, first you must understand how glucose is normally processed in the body.
How insulin works
Insulin is a hormone that comes from a gland situated behind and below the stomach (pancreas).
The pancreas secretes insulin into the bloodstream.
The insulin circulates, enabling sugar to enter your cells.
Insulin lowers the amount of sugar in your bloodstream.
As your blood sugar level drops, so does the secretion of insulin from your pancreas.
The role of glucose
Glucose — a sugar — is a source of energy for the cells that make up muscles and other tissues.
Glucose comes from two major sources: food and your liver.
Sugar is absorbed into the bloodstream, where it enters cells with the help of insulin.
Your liver stores and makes glucose.
When your glucose levels are low, such as when you haven't eaten in a while, the liver breaks down stored glycogen into glucose to keep your glucose level within a normal range.
Causes of type 1 diabetes
The exact cause of type 1 diabetes is unknown. What is known is that your immune system — which normally fights harmful bacteria or viruses — attacks and destroys your insulin-producing cells in the pancreas. This leaves you with little or no insulin. Instead of being transported into your cells, sugar builds up in your bloodstream.
Type 1 is thought to be caused by a combination of genetic susceptibility and environmental factors, though exactly what many of those factors are is still unclear.
Causes of prediabetes and type 2 diabetes
In prediabetes — which can lead to type 2 diabetes — and in type 2 diabetes, your cells become resistant to the action of insulin, and your pancreas is unable to make enough insulin to overcome this resistance. Instead of moving into your cells where it's needed for energy, sugar builds up in your bloodstream.
Exactly why this happens is uncertain, although it's believed that genetic and environmental factors play a role in the development of type 2 diabetes. Being overweight is strongly linked to the development of type 2 diabetes, but not everyone with type 2 is overweight.
Causes of gestational diabetes
During pregnancy, the placenta produces hormones to sustain your pregnancy. These hormones make your cells more resistant to insulin.
Normally, your pancreas responds by producing enough extra insulin to overcome this resistance. But sometimes your pancreas can't keep up. When this happens, too little glucose gets into your cells and too much stays in your blood, resulting in gestational diabetes.
How can I prevent diabetic kidney disease or keep it from getting worse?
The steps to prevent diabetic kidney disease are the same as the steps to keep it from getting worse. You will need to:
Control your blood sugar
Control your blood pressure
Control your cholesterol
Follow a diabetic diet
Do not smoke or use tobacco
Exercise most days of the week
Keep a healthy weight
Controlling your blood sugar
Foods to Eat and Avoid for PKD Patients with High Blood Sugar
Keeping your blood sugar in a healthy range can help protect your kidneys. A special diabetic diet, exercise and medicines can help you keep a healthy blood sugar level. You will need to check your blood sugar often to know how you’re doing.
When you have doctor appointments, you will probably have a blood test to check your hemoglobin A1C. This is a blood test that tells your doctor how your blood sugar has been doing over the last 2 or 3 months. Ask your doctor what your A1C result should be. Most people with diabetes should have an A1C less than 7 percent.
To check your blood sugar at home, you will use a blood glucose meter (also called a glucometer). You can get a meter at your local drug store, hospital, clinic or online. Your doctor can help you find a meter that is right for you. Most insurance policies will help pay for your testing supplies.
Your doctor can show you how to use your meter. Ask your doctor how often to check your blood sugar and what your blood sugar level should be.
In most cases, your blood sugar level should be:
Between 70 and 130 BEFORE eating;
Less than 183 about 2 hours AFTER eating;
Between 90 and 150 at bedtime.
Print this chart to track your blood sugar levels.
Tell your doctor if your blood sugar is often too high or too low. If your blood sugar is low, eat a glucose tablet, raisins, hard candy or honey. You can also drink fruit juice, milk or a sugary drink. Check your blood sugar again after 15 minutes to make sure it is getting higher.
Tell your doctor if this happens more than once.
Control your blood pressure
High blood pressure is the #2 cause of kidney failure. Having both diabetes and high blood pressure makes it more likely that you will have kidney disease and heart disease.
A healthy blood pressure is less than 120/80 (or 120 over 80). Ask your doctor how often you should have your blood pressure checked.
Click here for more information about blood pressure and kidney disease.
Control your cholesterol
Cholesterol is a waxy, fat-like substance in your blood. Having high cholesterol and diabetes makes it more likely that you will have kidney disease, heart disease or a stroke. High cholesterol can also make your diabetic kidney disease get worse faster.
There are two types of cholesterol you should pay attention to: HDL (“good” cholesterol) and LDL (“bad” cholesterol). For most people, normal cholesterol levels are:
Total cholesterol: less than 200
HDL (“good” cholesterol): more than 40
LDL (“bad” cholesterol): less than 100.
Your triglycerides are also important. Triglycerides are a type of fat in your blood. For most people, a healthy triglyceride level is less than 150.
Talk with your doctor about what your cholesterol and triglycerides levels should be and how you can control them.
Follow a diabetic diet
What you eat and drink affects your blood sugar. Ask your doctor, dietitian or diabetes educator about:
What to eat
How much to eat
How often to eat.
Picking healthy foods, eating smaller meals and eating more often can help you control your diabetes and prevent problems. Medicare and many private insurance policies will help pay for appointments with a dietitian or diabetes educator. Check with your insurance provider to find out if your policy covers medical nutrition therapy (MNT).
Do not smoke or use tobacco
Using tobacco (smoking or chewing) can make kidney problems worse. If you use tobacco, quitting can help lower your chance of getting kidney disease or help prevent your kidney disease from getting worse if you already have it.
Exercise most days of the week
Exercise can help your body use insulin better. This makes it easier to keep a healthy blood sugar level. Exercise also helps control your blood pressure and cholesterol.
To get the most benefit, exercise for at least 30 minutes, five days a week. If that seems like too much, start slowly and work your way up. Look for fun activities that you enjoy. Try walking with a friend, dancing, swimming or playing a sport. Adding just a little more activity to your routine can help.
Be sure to talk to your doctor before starting any exercise program.
Keep a healthy weight

Keeping a healthy weight can help you control your blood sugar and lower your chances of getting kidney disease. Talk to your doctor about how much you should weigh. If you are overweight, losing just a few pounds can make a big difference.

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