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GFR 53

Posted , 3 users are following.

james95390
james95390

Feb 2018 lost right kidney due to cancer my gfr 53 and creatine stays between 1.3 to 1.4 my blood pressure 130 over 70 should i be on renal diet , just turned 60

0 likes, 3 replies

3 Replies

  • marj01201
    marj01201 james95390

    Posted

    James, are you seeing a nephrologist? If not, I'd suggest that you seek s referral as soon as possible. If you alreadycsee a nephrologist this would be a great question for your nephrologist.

    My nephrologist says that it's good for all of us to eat a healthy diet--rely more on chicken and fish for protei; eat fresh vegetables and fruit. A low fat diet is another key component. And, of course, watch your salt.

    However, specific dietary restrictions, e.g., low potassium diet, are not prescribed unless your renal panel data indicates a need for those dietary restrictions. I have to follow s low potassium diet (2000  mg daily with a potassium binder medication). But that is due to elevated potassium levels without following this diet and taking this medication, some have to follow low phosphorous diets--I don't have that issue at this point. Some also have fluid restrictions but others do not. Do this is all totally individualized. I wouldn't make any changes until I visited with my nephrologist.

    Marj

    • james95390
      james95390 marj01201

      Posted

      So far my doc says just watch my salt intake but I watch phosprus and potassium level just to get ahead of the game , all my blood work comes back within normal limits I'm active 6 foot tall and 189lbs thanks for your input

    • MrsO-UK_Surrey
      MrsO-UK_Surrey james95390

      Posted

      James, when I once asked my renal consultant whether I should be referred to a renal dietitian/follow any particular diet, he replied that I should just continue as I was, believing from what I’d said I already ate healthily, for instance I don’t add salt to anything, eat plenty of fresh veggies and fruit and drink plenty of water.  Of course, he might well have had finance in mind as far as referral was concerned!!  I’m not so sure that you should be concerned about watching your phosphorus and potassium intake at this stage, especially as your eGFR is at a good level considering you now have just a sole kidney.  The important thing is that you should have regular routine monitoring of your kidney function just to ensure that the reading remains stable at 53.  This level is just within the range of CKD Stage 3a and my experience here in the UK is that our primary care doctors (GPs) are not expected to refer patients to secondary care (Consultants)  unless their kidney function shows signs of a downward spiral.  Just avoid as many medications as you can and especially any of the NSAID family such as Ibuprofen which is anathema to kidney function.   I have a friend aged nearly 80 who had a kidney removed to cancer a couple of years ago and she is very fit and healthy.  I had my right kidney removed over 60 years ago and only started developing a problem about 12 years ago.  My eGFR was 40 at last monitoring but has been down to 33 in recent months, so within the range CKD 3a to 3b.  Blood pressure control is a problem for me and my renal consultant who is trying desperately to get it under control but my body refuses to play ball with the medications!  You sound as though you are doing exceptionally well and long may that continue.  Lots of good luck wishes.
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