I have a gfr of a 31. I have maintain this give or take a few points over the past year and a half I was wondering what time of day You all take your blood pressure medicine? I’m having to half my losartan because I just have tried every Bp med and this works the best but when I take the full does of 25 Mg it makes me very groggy. Also how much protein do you get a day?
Protein intake ? : I have a gfr of a 31. I... - Kidney Disease
I take several meds for my HBP and they are scattered throughout the day. I have a schedule of times I take them. When any physician orders a new script I use that to add the new med at times to avoid negative interactions with other meds and/or food.
After consulting with my nephrologist and RD I have been limited to 8 oz. of protein per day.
Best of luck.
I've had my HBP under control for the last 13 months. I've also had my T2D under control for five years and the last three without medication. l believe the reasons I was able to turn things around was meeting with an RD and sticking to my kidney-friendly meal plan, exercising, and acquiring the knowledge to direct the doctors on my Care Team.
You are wrong Dr. Marvin8. I said exactly what I meant and what I have followed for the past three years. I don't eat red meats or dairy. My RD and I worked out the meal plan together and my meal plan has worked for me for 3 years. I have moved my GFR from it's lowest of 32 to it's highest of 65 and more importantly an average of 52 over that same three year period.
Just trying to help, Mr. Kidney, but you really are wrong. The RD is referring to ounces of fish, chicken, etc., not ounces of pure protein. Reason being is that 8oz fish/chicken/etc only contains around 7-8 grams of protein per ounce and your RD wants you to have around 60 grams of pure protein a day. That's normal for a ckd patient. If you think you're allowed 8oz of PURE protein a day, go ask your RD for permission to take it in the form of a high quality protein powder. That'll start the discussion going. Even if you were a 300lb professional body builder, no way would any responsible neph or RD allow you to consume 8oz (224gr) of pure protein in a day. They really do mean 8oz of fish/chicken/veggies and not pure protein.
No need to be snarky when corrected. Like most folks, you've been calling meat/chicken/fish/dairy "protein" for so long that you think of it as 100% protein when it's only around 25% protein, thus your 8oz of whatever fish/chicken/veggies equates to around 2oz of pure protein...or around 60 grams. And it's the total grams of protein in a day that's important to kidney patients. For somebody whose moniker is "Mr Kidney", I'm surprised you don't know this stuff.
You haven't refuted anything I've stated, which leads me to believe you're taking this personally when you shouldn't. I'm not telling you not to the listen to your nephrologist or RD. I'm simply stating that you should study the subject of protein and its sources better before giving advice on the subject. And your neph would certainly agree with me on that. If there are any nephs or RDs monitoring these threads, I'm sure they'll jump in at some point.
I’m not on blood pressure medication but someone you should look up is Lee Hull who has been a kidney patient for the last twenty years and is now in remission. He has two books out that may help you and one is a great kidney friendly cookbook where he recommmends 30 g of protein a day... I have just ordered Lee Hulls book Stopping Kidney Disease and his cook book as I was at a loss of what to eat.
Hope this helps you....😊
I really like the advice to see a dietitian who can examine the entire picture and present a tailored plan specifically designed for your particular needs. I'm a caretaker for my husband who just went on dialysis a few weeks ago. His kidney disease was caused primarily by diabetes which often leads to high blood pressure, kidney and heart issues, and more. (Sadly, during our orientation, we were informed that "most everyone" receiving dialysis in our center are diabetics.) So tailored diets also addressing the underlying conditions, if you have those, are well worth seeking and following.
I take metoprolol at night and my blood pressure is fine with it, but when I have been hospitalized for other things, they always give it to me in the morning. My GFR is usually 33, give or take 1 point. I have seen both a dietician for diabetes and a nutritionist for kidney disease. I have a hard time preparing food as my husband does not have the same restrictions and being forced to shop online for food due to Covid in the US, because of my age, 76, diabetes, and kidney disease. I keep the protein down both because I am not very hungry, and if I don't like what I am eating, I don't eat much of it. Maybe I have 4-5 ounces of what I would call "meat" per day, or at least that is what I put on my plate, but don't usually finish it. I don't count grams. You didn't ask about potassium, phosphorus, or sodium that can make a big difference in kidney function. In my case, I am not spilling protein, so salt is the most important thing.
My GFR is at 21 and I just saw a dietician for the first time 2 weeks ago. I was advised to keep protein 50 grams or less per day. When eating meats(3 oz serving- about the size of your palm and not too thick)5- 7grams per oz of meat. 2 meals with meat would be 1/2 my aloted protein. You also get protein from other foods as well. I was taking my BP med in the morning, but switched to evenings before bed( I read this could help reduce BP in a few months) I have had some improvement in last months, but other factors could be helping that as well(ie: diet changes) I also have IGA nephropathy and not overweight, so my GFR rate won't get the improvement from diet changes like some. Again everyone is different/ has different factors.