Advice please

ExChocoholic · Oct 25, 2019

Yes. Guess I have. Sadly there is no reliable GP at our surgery- appointments always with locum. The one resident GP and diabetic specialist does not take appointments as she is admin only - diabetic nurse has no bedside manner very hard to relate to. Thinking of changing surgeries but could be out of frying pan into fire. Maybe I will push for endocrinologist after all.

DCUKMod said:
Gosh - You have been through the mill.

When you had your last set of bloods, did they have a really good look across your vitamins etc? I'm thinking B12, Vit D, Follate, Ferritin etc? Are you being helped with your current anaemia? The human body, when functioning well, is a miraculous thing, but like any object of complex engineering, if something starts to go a bit awry, the implications to touch unexpected areas.

I've been pondering you dilemma. You have a lot going on. In your shoes, if those vit and mineral levels weren't tested, I'd be requesting that, with an open mind to supplementing, even if just for a while.

I'd also draw myself a mind map, with all the issues, concerns, pros and cons on it, with the various links drawn. It can take a bit of a time to do it, but it really can help make sure all the issues and potential remedial actions are captured in one place.

If you're unfamiliar with Mind Mapping, or Concept Mapping, Dr Google can offer plenty of info for you.

ExChocoholic · Oct 25, 2019

Btw as a retired lecturer I am familiar with mind maps, though not not db related.

DCUKMod said:
Gosh - You have been through the mill.

When you had your last set of bloods, did they have a really good look across your vitamins etc? I'm thinking B12, Vit D, Follate, Ferritin etc? Are you being helped with your current anaemia? The human body, when functioning well, is a miraculous thing, but like any object of complex engineering, if something starts to go a bit awry, the implications to touch unexpected areas.

I've been pondering you dilemma. You have a lot going on. In your shoes, if those vit and mineral levels weren't tested, I'd be requesting that, with an open mind to supplementing, even if just for a while.

I'd also draw myself a mind map, with all the issues, concerns, pros and cons on it, with the various links drawn. It can take a bit of a time to do it, but it really can help make sure all the issues and potential remedial actions are captured in one place.

If you're unfamiliar with Mind Mapping, or Concept Mapping, Dr Google can offer plenty of info for you.

Member496333 · Oct 25, 2019

ExChocoholic said:
Thanks for share but with protein in kidneys Keto is not recommended for me.

Ketogenic eating typically doesn’t have to be high protein. Protein should ideally remain fairly static across all diets. The metabolic pathway of ketosis uses fat (dietary and stored) to replace carbohydrate. In fact, in some people, excess protein can actually hinder ketosis.

NicoleC1971 · Oct 25, 2019

Jim Lahey said:
Ketogenic eating typically doesn’t have to be high protein. Protein should ideally remain fairly static across all diets. The metabolic pathway of ketosis uses fat (dietary and stored) to replace carbohydrate. In fact, in some people, excess protein can actually hinder ketosis.

I'd agree that keto is not Atkins but also add that it is not proven that high protein causes kidney damage. What definitely does cause kidney damage though is high blood sugars.
I saw the 'ghost of Christmas future' when my client who is on dialysis told me he was the only one in his local kidney disease club who wasn't diabetic.

DCUKMod · Oct 25, 2019

ExChocoholic said:
Btw as a retired lecturer I am familiar with mind maps, though not not db related.

I use mind mapping for all manner of "stuff". It just helps me get complex issues on a page, with all the scary joining up lines!

Member496333 · Oct 25, 2019

NicoleC1971 said:
I'd agree that keto is not Atkins but also add that it is not proven that high protein causes kidney damage. What definitely does cause kidney damage though is high blood sugars.
I saw the 'ghost of Christmas future' when my client who is on dialysis told me he was the only one in his local kidney disease club who wasn't diabetic.

Yeah I’m unsure about the protein/kidney thing. It’s always seemed to me like a probable dietary myth to add to an already very long and distinguished list. There does seem to be some opinion that it might be an issue in those who already have kidney problems, though? Either way I personally wouldn’t let it keep me from trying ketosis, particularly when there is nothing to say that a ketogenic diet has to be necessarily high in protein anyway.

Resurgam · Oct 25, 2019

NicoleC1971 said:
I'd agree that keto is not Atkins but also add that it is not proven that high protein causes kidney damage. What definitely does cause kidney damage though is high blood sugars.
I saw the 'ghost of Christmas future' when my client who is on dialysis told me he was the only one in his local kidney disease club who wasn't diabetic.

Eh? Keto - short for ketosis not Atkins? Ketosis is the basic tenet of Atkins.

Member496333 · Oct 25, 2019

Resurgam said:
Eh? Keto - short for ketosis not Atkins? Ketosis is the basic tenet of Atkins.

I heard the other day - and don't know if it's true - that Atkins did actually start life as a high fat diet but evolved into high protein in an attempt to mitigate the ridicule it was receiving in an era when the low-fat dogma was really taking hold with the public. I remember this myself in the late 1970s when Atkins was being torn asunder on TV programmes such as That's Life.

High protein doesn't always guarantee ketosis in everyone, particularly if they are already metabolically damaged. Indeed it's said that Atkins himself switched to higher protein and then began gaining a lot of weight. Again I'm not sure how much of this is true.

Resurgam · Oct 25, 2019

Jim Lahey said:
I heard the other day - and don't know if it's true - that Atkins did actually start life as a high fat diet but evolved into high protein in an attempt to mitigate the ridicule it was receiving in an era when the low-fat dogma was really taking hold with the public. I remember this myself in the late 1970s when Atkins was being torn asunder on TV programmes such as That's Life.
High protein doesn't always guarantee ketosis in everyone, particularly if they are already metabolically damaged. Indeed it's said that Atkins himself switched to higher protein and then began gaining a lot of weight. Again I'm not sure how much of this is true.

I have Dr Atkins New Diet Revolution edition from 2003, and an earlier version - most of what is reported about what the Atkins way of eating is and what Dr Atkins wrote is total tosh mixed with downright falsehood.
The gleeful reporting of his weight at death did give his true weight at that time - but he suffered organ shutdown - including his kidneys, whilst the hospital still piped in bag after bag of glucose solution so he blew up like a water balloon. His weight on admission seems to have been of no interest....

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