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Pre diabetes with CKD

I

Imorton

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I could with some help.

Have recently had an hba1c of 39 from 42( first ever test at 47years old) which is getting good but a full blood test showed high cholesterol and kidney disease plus high blood pressure. On Meds now for cholesterol and BP.

Question is I had tried to cut carbs and replace with protein which must have worked but excess protein hurting kidney. Thought about keto but won’t that increase cholesterol.

GP not much help other than saying the diabetes is the biggest problem and focus on that.

Really not sure what to eat now

Thanks
Ian
 
My (limited) understanding is that diet does not make much difference to cholesterol. I'd be tempted to replace the carbs with fats. Cholesterol is a very contentious issue on these boards, I'm still on the fence regarding it. But I'd certainly prioritise bg levels and my kidneys over (possible) high cholesterol levels.
 
I think it's a pressure effect that's both causing and being caused by the kidney disease, but that's linked to the hyperinsulin axis of type 2 diabetes, not really to the sugar.

The cholesterol meds can actually destroy the kidneys if they cause rhabdomyolysis - this is the primary reason I think using statins in CKD patients is triable as malpractice, and would vote guilty if I was a juror.

The "protein as bad for kidneys" thing is a half truth. High protein when you already have a low GFR can overload your body's ability to clear the urea (resulting in uremic disease), but a low carb diet (which you may be speaking about with the replacing carbs with proteins) is replacing carb (an energy nutrient) with fat (another energy nutrient), not with protein (which is a building block which can be catabolised to carbs for energy) - the protein should stay roughly the same, or go up a mite (if you were deficient before), not up drastically.

Keto will increase cholesterol in some people, and I have no reason to believe that that would be atherogenic, especially in context of the five alarm fire that is prediabetes and your kidneys being blown porous by high blood pressure.
 
Imorton said:
I could with some help.

Have recently had an hba1c of 39 from 42( first ever test at 47years old) which is getting good but a full blood test showed high cholesterol and kidney disease plus high blood pressure. On Meds now for cholesterol and BP.

Question is I had tried to cut carbs and replace with protein which must have worked but excess protein hurting kidney. Thought about keto but won’t that increase cholesterol.

GP not much help other than saying the diabetes is the biggest problem and focus on that.

Really not sure what to eat now

Thanks
Ian
Click to expand...
Keep a check of your blood sugars with the cholesterol meds - my hba1c increased from 48 to 54 when I was put on them and reduced to normal levels once I came off them. They can also cause other side effects.
 
It is beginning to look very much as though the 'information' we've been given about cholesterol is not proving true in the long term - and replacing carbs with protein is not advised. I believe that some people have developed kidney stones from the response to protein without fats. The protein can be broken down in various different ways, and without fats to bring on ketosis, the protein is used to produce glucose which is not the best option.
 
Imorton said:
I could with some help.

Have recently had an hba1c of 39 from 42( first ever test at 47years old) which is getting good but a full blood test showed high cholesterol and kidney disease plus high blood pressure. On Meds now for cholesterol and BP.

Question is I had tried to cut carbs and replace with protein which must have worked but excess protein hurting kidney. Thought about keto but won’t that increase cholesterol.

GP not much help other than saying the diabetes is the biggest problem and focus on that.

Really not sure what to eat now

Thanks
Ian
Click to expand...
Plant based can be considered, i have found that eating lentils doesn't raise BG much quite reasonable.
Mostly green veggies or you can try keto which can again be plant based but higher in fat. Please consult a dietitian and carefully prepare diet chart. Animal proteins are heavy on kidneys.
Search ginger therapy which you can try for kidney, i know people on this forum will tell it is BS but it won't hurt to try. I read story about this Indian man whose father got kidney problem from statin use, he recovered from using ginger therapy.
 
Do you have protein in your urine.
 
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