• Find Us
  • Facebook
  • Twitter
  • YouTube

dLife Daily Tips

Do you have hypoglycemic unawareness?

Read More View All Tips

Diabetes Questions & Answers
Your diabetes questions answered by our Experts and Community.


Can't find the answer you are looking for?
Ask a new question
The Question
07/03/09 12:03 AM

"My last GFR was 28. I can't find a diet plan and ins. doesn't cover a nutritionist. I'm 5'8" and weigh 149. I am 49 yers old can you help me"
Asked By: sharonfarris  
Category: Kidney Disease

Background Info Hide
Type 1 diabetes since 1972 Anemic, High BP, Neuropathy of feet, legs and hands, Gastrpharesis (spelling?) Depression, anxiety disorder. Recurrent ulcers right foot.

Expert Answers (1)

09/14/09 02:38 PM

Hello SharonFarris: Yes, we can definitely help, but, YOU need to act-The foot ulcer needs attention immediately, infection will mess with your readings and those high glucose levels are hurting you kidneys!
With kidney involvement and other neuropathies, I would suggest doing a nutrient analysis on www.fitday.com, at this site you can establish your baseline food intake. You enter your entire day-days intake and it will analyze for totals: carbs, protein, fat, nutrients and water.
  • Compare with the following general meal plan: 1600 total calories, 50-60 grams protein/day, distributed carbs, proteins and fat evenly throughout the day, small snack in mid-afternoon and bedtime snack.
  • Or 40 gms carb-Brk,
  • 50-60gms carb-lunch&dinner,
  • 20-30 gms carb per snack. (Considering, the gastropharesis, small frequent meals may be more appropriate, based on your tolerance.

    Carbohydrate fuels the blood glucose 100%, proteins ~50% and fat~20%. So, the first 2 hours after a meal tell me the carb intake glycemic highs, at 3-4 hours that reflects the protein from the meal. Lastly, the fat influences. I like to keep the meal plan and calculating choices simple:

  • the average small piece of fruit, slice of bread, 1/2c. pasta, potatoes, corn, peas, legumes, 1 c. milk(any fat content) is about 15 grams carbs
  • low carb veggies: green bean, tomatoes, broccoli, cabbage, carrots is about 5 grams for 1/2 cup cooked or 1 cup raw.
  • There is no substitute for reading labels, as soon as you think you know how many carbs, the manufacture changes the recipe!
  • The proteins: beef, chicken, fish, if it's a solid piece, 1 oz.=your thumb size and has about 7 gms protein. If its ground/flaky/consistency, 1/2 cup=3-4 oz. or 1/2 the size of your fist. (You have built in measuring tools).

    At a GFR of 28, this is overt nephropathy indicating both protein and sodium restrictions. In addition to the protein restriction listed aim for approx. 2-3,000mg/Na+ per day.

    Be your best. Sue

    • Answered By: Susan Throop
    Accreditations: RD, CDE, MA
    Sources Show

    Community Answers (0)

    There are currently no community answers to this question. Be the first to Post an Answer

    Most Recent Kidney Disease Questions:

    I am a type 2 diabetic, i have GERD and IBS. I also have some protein leakage from my kidneys. I'm confused on what kind of diet i should be on.
    Can a complication-free Type I diabetic donate a kidney to another Type I diabetic (assuming of course that all other donation requirements are met)?
    How do I decide if a kidney transplant is right for me or a kidney/pancreas transplant?
    Hi my Creat,UR was flag low at 1.8
    Hi my Creat,ur is 1.8 and my ESR is 31 is this good or bad
    What is the limit amount of Humulin 70/30 to take safely according to your weight?
    I have been taking meds for type 2 should my Dr be checking my urine if so how often?

     

    *** All information contained on dLife.com is intended for informational and educational purposes only. Our Expert Q&A is not intended to be a replacement or substitute for consultation with a qualified medical professional or for professional medical advice related to diabetes or another medical condition. Please contact your physician or medical professional with any questions and concerns about your medical condition.

    Sign up for FREE dLife Newsletters

    dLife Membership is FREE! Get exclusive access, free recipes, newsletters, savings, and much more! FPO

    FPO

    Congratulations!
    You are subscribed!
    Congratulations!
    You are subscribed!
    Congratulations!
    You are subscribed!

    dLife Weekly Poll

    Has diabetes made it difficult to get/renew a driver's license?

    View Results
    More Polls
    More Diabetes Information
    • Facebook
    • Twitter
    • YouTube
    More dLife Information
    Copyright © 2012 LifeMed Media, Inc.    All Rights Reserved.
    This website is certified by Health On the Net Foundation. Click to verify. This site complies with the HONcode standard for trustworthy health information:
    verify here.