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<blockquote data-quote="SWUSA_" data-source="post: 1333487" data-attributes="member: 337910"><p>I have been obsessing over protein levels this week. I am going to post this as a thread because I am interested in what other people have to say on it as well. Do not feel that you have to respond to everything just let me know if anything jumps out as you. I have some long standing kidney damage from the high uric levels of gouty arthritis before they were controlled-it has been at the same level now for 37 years but I have always eaten a low protein diet-I just do not like meat very much. I have been looking at information from the Kidney Foundation here and they recommend not more than 0.8 grams for each kg of body weight. (I know we discussed that upper limit before but I do not remember in exactly what context.) That would put me at 185lb/2.2kg =84.0909091kg*0.8g/kg=67.27 grams recommended as a highest amount of daily protein to consume. And that would decrease as I lose weight. I had been trying to eat the minimum recommended of 45 grams per day and trying to increase the % of diet that I eat as protein but after reading information from several sources on Chronic Kidney Disease (CKD) at my stage (2.5) I do not think that I should. You may say that is not a Diabetic issue but 30% of people with Diabetes have some amount of kidney damage according to the American Diabetes Association (ADA).</p><p>I am at 40% fat in my daily intake ratio now and I know if I go above that limit I will start to have gall bladder problems again (having tried several times-I do like fat). I have increased water because chron-o-meter program told me I needed to-but I am not sure about that now either. Some increased water helps your kidneys flush things out but too much water makes them work too hard. Carbs I know work at 80 to 100 carbs per day for me, with good fasting and PPD glucose readings. Will this need to decrease as I lose weight also or will it stay the same or will I get even lower fasting numbers with the same level of medication?</p><p>So, of the 4 macro nutrients (Protein, Carbohydrate, Fats and Water) I now have daily finite upper limits on Protein (due to CKD at 0.8 x kg of body weight or 67.27 grams right now), Fats (max about 60 grams due to gallbladder issues), Carbohydrates (80 to 130 grams due to Diabetes) and Water (also due to CKD issues about 72 ounces per day). Which at first sounded restrictive to me but then I realized that we all have finite upper limits on what we should consume-it is just not me, and it is just not at this time but has always been that we have finite upper limits on what we should consume. (I laughed at myself a little there.)</p><p>Minimum levels are set by the Food and Drug Administration (FDA) at 45 gram per day of Protein, no minimum on carbohydrates, 64 ounces of water, and 30% of total intake as fat recommended as an upper limit.</p><p>So.....as I lose weight am I going to have to adjust the % of different macro nutrients, or just the volumes of everything overall? Or am I just obsessing about what has not happened yet and I should just continue on until I do lose more weight and then make adjustments as needed?</p></blockquote><p></p>
[QUOTE="SWUSA_, post: 1333487, member: 337910"] I have been obsessing over protein levels this week. I am going to post this as a thread because I am interested in what other people have to say on it as well. Do not feel that you have to respond to everything just let me know if anything jumps out as you. I have some long standing kidney damage from the high uric levels of gouty arthritis before they were controlled-it has been at the same level now for 37 years but I have always eaten a low protein diet-I just do not like meat very much. I have been looking at information from the Kidney Foundation here and they recommend not more than 0.8 grams for each kg of body weight. (I know we discussed that upper limit before but I do not remember in exactly what context.) That would put me at 185lb/2.2kg =84.0909091kg*0.8g/kg=67.27 grams recommended as a highest amount of daily protein to consume. And that would decrease as I lose weight. I had been trying to eat the minimum recommended of 45 grams per day and trying to increase the % of diet that I eat as protein but after reading information from several sources on Chronic Kidney Disease (CKD) at my stage (2.5) I do not think that I should. You may say that is not a Diabetic issue but 30% of people with Diabetes have some amount of kidney damage according to the American Diabetes Association (ADA). I am at 40% fat in my daily intake ratio now and I know if I go above that limit I will start to have gall bladder problems again (having tried several times-I do like fat). I have increased water because chron-o-meter program told me I needed to-but I am not sure about that now either. Some increased water helps your kidneys flush things out but too much water makes them work too hard. Carbs I know work at 80 to 100 carbs per day for me, with good fasting and PPD glucose readings. Will this need to decrease as I lose weight also or will it stay the same or will I get even lower fasting numbers with the same level of medication? So, of the 4 macro nutrients (Protein, Carbohydrate, Fats and Water) I now have daily finite upper limits on Protein (due to CKD at 0.8 x kg of body weight or 67.27 grams right now), Fats (max about 60 grams due to gallbladder issues), Carbohydrates (80 to 130 grams due to Diabetes) and Water (also due to CKD issues about 72 ounces per day). Which at first sounded restrictive to me but then I realized that we all have finite upper limits on what we should consume-it is just not me, and it is just not at this time but has always been that we have finite upper limits on what we should consume. (I laughed at myself a little there.) Minimum levels are set by the Food and Drug Administration (FDA) at 45 gram per day of Protein, no minimum on carbohydrates, 64 ounces of water, and 30% of total intake as fat recommended as an upper limit. So.....as I lose weight am I going to have to adjust the % of different macro nutrients, or just the volumes of everything overall? Or am I just obsessing about what has not happened yet and I should just continue on until I do lose more weight and then make adjustments as needed? [/QUOTE]
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