Are nuts such almond kidney friendly food in ckd stage 1 or 2?

[Younme]

Will high level of oxalates in nuts worsen the kidney function ? I wish to have dietary tips and advice for ckd stage 1 or 2? What precautions should i take to delay its progression and how to deal with persistant microalbumin with UACR 70 to 75? Im diabetic with HBA1c dropping from 8.9% to 5.4% over 6 months. Thank you

[Live4Hope]

In the earlier stages dietary restrictions mainly focus on sodium reduction and eating a balanced diet. The goal is to delay or halt function decline that isn't "natural" the kidneys will naturally decline in function so the goal is to reduce any decline that doesn't occur naturally due to age. To what I understand, while a progressive disease, it is possible to prevent further kidney damage which would continue progression however the progression that occurs due to age is what make the disease life long and progressive since having CKD puts us at a lower baseline for the population average so that does increase the likelihood of transitioning to a later stage outside of natural kidney decline. Nuts and seeds have natural oxalants but the serving sizes typically do not impact kidney health until the later stages or if you are sensitive to oxalants. I'd ask your doctor for their input but a renal dietician or Nutriontinist may be better to ask.

In summary:

Stage 1 and 2 are not considered "renal issues" yet but if not treated they can become renal issues. The focus is to stop unnatural kidney function decline by reducing protein, comorbidities, and avoiding damaging toxins.

Consider getting a renal dietician or a Nutriontinist familiar with chronic diseases. They can help with recommendations.

Monitor the following levels:

Sodium (prioritize)

Potassium (pay attention but at this stage it is unnecessary unless levels are elevated.)

Phosphorous (pay attention but at this stage it is unnecessary unless levels are elevated.)

Foods:

Focus on a low sodium diet. Consider limiting meals to only 600 grams of sodium or lower (this varies depending on your restrictions, age, and blood work)

Drink more water if you're not in any fluid restrictions (64-100 ounces a day)

Consider reducing animal protein to 1-2 servings a day unless advised otherwise to go lower. (4-8 ounces a day, some go lower but it should be based off your labs)

Hopefully this helps!

There are a lot of people on here that know more than me.

You're not alone here, message us anytime.

[Younme in reply to Live4Hope]

Thank you lots.. i, 40 years, was so depressed after learning to have CKD. Father of two kids under five , being in good health for them is my priority. I dont want to be a burden on them later by being sick and less active. Is there a way i can know how long will it take to progress to renal failure or dialysis stage? Is there any online reliable renal dietician you can suggest please as in my area i dont have one who deals with renal patients. I am worried about microalbuminuria with persistent foamy/bubbly urine.

Comorbidity: DM Type 2

My labs results:

July 2024

Hba1c 8.9 %

BMI 25.8

UACR 73

Medication and lifestyle changes Dapaglifloxin/metformin

Dieting

Being more physically active

maintain good hydration

DEC 2024

HbA1c 5.4%

BMI 21

UACR 72

On next appointment for blood test , i will do cystatin c level to have a clearer picture of my renal function.

S.lipids s uric acid, Urea creat and electrolytes calcium and phosphorus are all within normal range on both occasions.

Thank you lots for your encouraging words. It meant a lot for me.

[Live4Hope in reply to Younme]

Fay Dieticians have a good reputation and do all services online unless you want in person. You're able to search for the kind of dietician you want. I'll get you the name of the one I work with shortly.

As for the timeline, the only way to predict is by working with a Nephrologist and they monitor the protein in your urine, even that is only a "correlation" a strong one but correlation isn't causation. Most treatment in stages 1 and 2 is to treat underlying causes, reduce protein secretion, decrease blood pressure, normalize blood sugar, and reduce the strain on the kidneys. Think of CKD 1 and 2 as pre- renal problems, you're not there yet but without treatment the outcome can lead to decline in function. It is possible to prevent the disease from progressing but it really is dependent on how much you adhere to treatment and developing a better diet that consist of mostly fresh fruits, vegetables, and lean protein. Unfortunately, there isn't a lot of data on treatment for stages 1 and 2 since most people don't get diagnosed until stage 3 or later.

Positive side:

Early intervention has the greatest chance of reducing the risk of progression. CKD doesn't always mean transplant or dialysis but it is a risk. Focus on improving your overall health including your mental health, that will significantly help with the disease outlook.

It's scary, terrifying even, and honestly I still have my day where I freak out but unlike other conditions we do have options as long as we take care of ourselves.

You're life isn't over, you are not dying, and you still have a lot of life ahead of you. We're here for you as well, we've all pulled each other out of the debts of despair as a community.

Please also share your fears with family/friends you trust. Keeping your fears inside will only exacerbate your symptom.

[Younme]

Thank you lots

[userotc]

Have you considered trying to reverse your T2D via a qualified Nutritional Therapist specialising in that area? Of course, that may also help with CKD.

My mum prefers Nutritional Therapy to a renal diet, for various reasons, for her CKD.

[Younme in reply to userotc]

Hello. Nope. I never tried.

[userotc in reply to Younme]

Shame as I believe many diabetics have benefitted.

[lowraind]

Don't know where you live, but Mayo Clinic, John's Hopkins University and Cleveland Clinic provide much information.

[Younme]

Mauritius