What is the best chose between corn or wheat tortillas.

[Eaglesfly]

I have to find out before I eat these, I’m stage 4 CKD, diabetes, high blood pressure. I’m trying to find out which one is the best or the easiest to digest with all three conditions, wheat or corn? Please help, thank you 🙏🏻

[orangecity41 NKF Ambassador]

I prefer taste of corn tortilla. I read labels, and the wheat flour ones, I have looked, at contain more sodium, potassium and phosphorus, which I am restricted on.

[Sophiebun11]

Flour is better for CKD but corn is better for diabetes. I presume you mean T2D.

This is why you should have a Dietician. They can help you decide on a meal plan to incorporate all of your health issues.

If in doubt, make lettuce wraps. It's not worth worrying about tortillas IMO. Besides, what you put into the tortillas is more important. Are you filling them with meat, processed high sodium cheese and other things not good for a CKD diet? That's what a Dietician can help teach you.

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[Eaglesfly in reply to Sophiebun11]

I pray I get a dietitian next month, that’s when I see my doctor. CKD 15%, Diabetes, High blood pressure, I’m reading the labels and corn has the lowest numbers, My Doctor said to do a low salt, low protein diet. Drink 64 ounces of water per day. Real high protein count in my urine, IDK what to eat for that? I just lost 20 pounds fast (trying to reverse the diabetes), all other things are normal or low, that was in September 16, 2021, it’s not as complicated as I thought it would be. Any help on diet is appreciated, God Bless

[Sophiebun11 in reply to Eaglesfly]

Less meat and dietary protein, and lower sodium, will lower your levels of protein in your urine. Weight loss alone won't help that if you are on a high protein low carb diet. Try a plant based diet and low sodium in addition to increased water intake. Simply reducing calories isn't great either if you aren't eating the right foods. All plants aren't good either so read the kidney diet websites.

Look on the DaVita.com website for dietary advice for all of your conditions. They all effect your kidneys. If you can't see a Dietician you can get enough advice there. It takes research even if you have a Dietician. You still have to do the work yourself. Just don't get over-whelmed trying to take in everything at once. Life is a continual learning process, stay calm and take it all in.

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[Darlenia in reply to Sophiebun11]

Low carb diets, for diabetics, are a sure way to lose weight and control sugars and carbs. (The glycemic index is also valuable in food selection.) My hubby lost 50 pounds that way, getting off all meds (including insulin) for T2D. He started on it as a Stage 4 kidney patient. His primary doctor, with the approval of his nephrologist, was instrumental in my hubby's journey as he took over his dietary management from the "renal" dietitian who promoted sweet fruits, rice, bread, etc.

[Sophiebun11 in reply to Darlenia]

That's fantastic, good for your husband. How wonderful to be able to lose that weight and improve his health as an added bonus. Low carb diets seem to work well for many and are easy to adhere to. As long as people don't eat non-carb meat. Some people go overboard on animal protein on low carb diets.

Some fruits aren't too bad in carbs like apricots and pit fruits. Bread and rice are the devil on low carb : ) Once you are at your goal weight and trying to maintain some low glycemic index carbs are good in moderation. I prefer quinoa, but limit that as well. I mostly eat salads, and veggies with the occasional red potato or some chips as a treat. Luckily I'm within my normal weight and BMI for my height. I am just trying to be healthy. I do have to work to increase my protein intake by adding nutritional yeast since legumes give me migraines and soy causes asthma. Occasionally I'll have an almond butter open face sandwich on a bread that I get from Trader Joes. It's a whole grain bread which is only 13 carbs per slice as opposed to 30 carbs per slice like many breads. It's not labeled as low carb, I just found it by reading labels.

Give your husband a "way to go" from me!!!!

[Darlenia in reply to Sophiebun11]

I sure will pass on your greetings to my hubby. You're definitely on a good path! Trader Joes is a wonderful boutique grocery store. The family that owns Trader Joes also owns Aldi. While Aldi has common products, Trader Joes carries the specialty items. Keep on keeping on! I see a great outcome for you.

[Sophiebun11 in reply to Darlenia]

I just looked up Aldi's since I hadn't heard of them. The nearest is 2 hours away. I love Trader Joes because I only eat Organic food and they carry a lot of Organic items.Thanks Darlenia.

[RoxanneKidney]

They have some unreal phosphorus levels which is why they can sit on the shelf for months.

[Pancakes123]

I would suggest making them yourself out of almond flour. Nothing to spike your blood sugar or stress your kidneys. There are plenty of recipes on Pinterest.I really like this guys recipes.

thebigmansworld.com/keto-to...

[Sophiebun11 in reply to Pancakes123]

That's a super idea!!!!

[Bassetmommer NKF Ambassador]

Tortillas are normally loaded with salt and additives. I use a product from a company called Tumaros. They make a lo card, so salt wrap. It makes great soft tortillas. They have all different kinds.

[sparkie88]

Talk to dietcian but if you have diabetes it is neither eat something else with fiber instead

[RhenDutchess123]

Whenever I question a food...I Google the food and CKD.......exp...Tortillas and CKD...lots of info

[HSV21]

I am in the same dilemma as you and was able to finally find a great renal dietician. They are not all the same!! She has kept many patients off dialysis and transplants. Her name is Robin Reynolds and she will do tele visits, takes most insurance. Very thorough, but very strict diet. 1/3 c. wild or white rice, no bread at all unless blood glucose is in order, She did just say I could have 1 starch twice a week as a treat. She suggested corn tortilla over others. Dreamland brand of pasta is very low in net carbs, if you can find it. Otherwise they do sell direct on website. Because of diabetes, she said 3 oz of meat, fish, poultry or pork per meal. Only 1/2 c. fruits per meal that are low in phosph. and potassium, strawberries, cherries, blueberries, pineapple. All the non-starchy veggies I want. Absolutely no dairy - that includes cheese, milk (can use non-dairy milk like rice or almond), cream, yogurt, etc. It is hard for the kidneys to process at Stage 4. My phos. and pot. were at high end of normal range and after 2 weeks have come down to normal.

Best thing about Robin is even though at first she just gives you a list of foods to eat, I expressed frustration and the need for some recipes and she sent me 46 pages of good ones. I don't like many of the foods, but it is a good start, as I can look up similar recipes online. RobinReynodslrd.com is her website. The website says she is not taking new patients and to search for others on there, Ignore that and call her at 501-777-8120. She took me on and takes your insurance or can bill directly. She is very busy, so it is usually 1 visit per month, but she does respond quickly to email questions. She has an extensive questionnaire to complete and wants a copy to your lab results so she can build a diet specifically for you. The other dietician I tried did not do that and was not helpful.

My doctor put me on Ozempic at the same time, for diabetic control and to lose weight. However, I am not sure I can tolerate it. Side effects are nausea, dry heaves , vomit that comes on suddenly. Good luck!! Try to stay positive!!