Lentils on kidney diet.

[Willowdene]

One of the things mentioned is cut back on lentils but kidney care UK has a number of lentil dishes main ingredient.

Same with pasta brown pasta better than white

Any advice please!

[orangecity41]

Diet also depends on what levels of phosphorus, sodium and potassium. I try to work lentils into my diet and adjust the amount.

[Willowdene in reply to orangecity41]

Thank you for that

[orangecity41 in reply to Willowdene]

Davita has a diet tracker you might look at. I track my diet so do not go over the limits.

[purple-1974]

You only need to lower your consumption of lentils and pulses if your potassium and phosphorus levels are raised. They are a fantastic source of good quality protein, I try to include them weekly in my meals as I eat less meat and fish to control my creatinine levels.

[RickHow]

Again you will ALWAYS find conflicting advice on this website, on the internet, and many times between doctors. There are basic agreements as many have stated that so much depends on your own individuality. But to keep you levels of phosphorus, sodium and potassium and yes Creatinine as your guide. We are ALL different. And the levels reported in our blood work, with your doctors advice, will guide you best. NOT the internet. For example (and there are hundreds), lets look at fish. Many will say it is bad for CKD other will differ. I did a simple google search just now on "fish and CKD". The first article said: (from a medical news publication):Reducing protein intake

Red meat is muscle tissue, which naturally contains creatine, and cooking causes the creatine to break down into creatinine. When a person eats the meat, their body absorbs the creatinine, and their levels may rise. Eating less red meat and fewer fish products MAY reduce high creatinine levels.

The very next article shown said (ironically from the same publisher but a little later in time):

What fish can you eat with kidney disease?

Salmon, tuna, and other cold-water, fatty fish that are high in omega-3 fatty acids can make a beneficial addition to any diet. The body cannot make omega-3 fatty acids, which means that they have to come from the diet. Fatty fish are a great natural source of these healthful fats .Jun 5, 2019

Direct conflicting advice from the same publisher. Myself I eat red (actually pork, not beef) 2 times a week, fish 2 times a week, other times pasta (white), chicken, (no skin), pizza every 10 days or so, soups, no canned products unless salt free, pretzels (no salt), a couple of cookies a day, a slice of muffin each night, potatoes every 3 or 4 days, drink 64 ounces of water daily, coffee 2 times a day (or tea), frozen vegetables that are steamed in the microwave, white rice once a week, peanut butter daily, bagel daily, ice cream once or twice a week. All in keeping with normal portions and daily requirement totals as recommended (such as about 65-70 grams of protein a day for an adult male of 180lbs). Some days I go over some then "make up for it" on the next day.

My results. Stayed quite consistently in the mid to upper 30's for egfr. Reduced excess water consumption, watched my daily consumption figures more closely, stuck to a regular diet for myself, and my most recent egfr was 53. But more usually it is now in the upper 40's.

I exercise (fast walking) at least 30 to 45 minutes every day.

Give it time. Don't analyze each and every mouthful. You will go crazy. Use common sense.

Over and over again the answer is simple. MODERATION based upon your own individual blood test results. Generalities are to keep your protein, phosphorous, etc., etc., at recommended daily requirements.

Try to pick a diet you like, is moderate, matches your blood test results, does not exceed daily requirements, but still provides you with protein, etc., etc, within NORMAL limits. Then the next test see if any change? THERE IS NO MAGIC SOLUTION. If so, we would all just be given a "magic" diet to follow and CKD would no longer be an issue in the world. The government publishes a guideline of requirements (i.e., how much protein to consume). Stick at or slightly below those requirements. Make adjustments to each category based upon your blood test results (if your sodium is high, lower intake, etc,).

Most of all listen to the person who knows best. Your doctor. Not the internet. Not me. But your own test results and changes over time.

[Willowdene in reply to RickHow]

Once again thank you. So pleased you are here to help so many individuals with their anxiety so reassuring and factual.

[orangecity41 in reply to RickHow]

Agree it depends on your individuals prescribed diet. I have been eating salmon ever since put on the diet, at least 2 times a week.

[RickHow]

About lentils. Yes there are diets that recommend it and those that say stop it. BUT you must understand that there are stages of CKD. Here for example is an excellent link about different diet needs at different stages. In mild to moderate (CKD 3 or less) just a common sense diet is usually all that is needed. As one approaches stage 4 then a stricter diet is needed as are different foods. Lentils seem save (as long as not excessive) until later stages where for patients on or near dialysis they are even recommended. But as you will see in this article, you need to monitor your diet at 3 or below, but it is NOT nearly as strict as people sometimes over react to. 3 or below is MODERATE kidney decline. The "CKD" should really not be called "chronic kidney disease" but rather, at low stages, "chronic kidney decline". You like lentils, then have them, Not every day, not huge amounts. Just east as you enjoy them, then with your next blood work if you find your phosphorous, potassium levels are increasing, then reduce or stop their consumption.

[Bassetmommer]

I just had a revisit with my renal dietician. She is the top renal dietician in my area and knows her stuff. She said, and I am finding supporting research on this, that the old adage of not eating brown rice and whole grains has changed. Now they want CKD diets to include whole grains. The reason is two fold. One, you do not absorb all the phosphorous in plant based foods. There is research being done to see how much potassium we actually absorb too now. That was the main concern of using whole grains was the phosphorous and potassium. And two, the benefits of the fiber is very beneficial for CKD patients. pubmed.ncbi.nlm.nih.gov/244...

karger.com/Article/Fulltext...

[Willowdene in reply to Bassetmommer]

Very interesting we were not happy giving up brown bread, brown rice and all bran for healthy heart. 👍