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The Question
07/08/09 12:56 PM

"I am a type 2 diabetic and have stage III renal failure. What kind of diet should I follow and where can I get a diet plan. My doctor isn't helping."
Asked By: taylinda  
Category: Food and Nutrition

Background Info Hide
I have been type 2 for 23 years and have had stage renal failure for 3 years. No one has ever tried to really educate me as far as my diet. I am also very overweight. I have been on Levimir or Lantus insulin for 5 years and I take amaryl and januvia. I also take 3 meds for BP and two meds for cholesterol and triglycerides. I have been told that people on diabetic meds and BP meds can't lose weight.

Expert Answers (1)

07/09/09 07:13 PM

Dear taylinda, Thank you for your question. I have worked with people with various degrees of renal failure for over 10 years. It is my experience that the diet has to be adjusted according to the person's lab work. For instance, some people are on medication for blood pressure that increases their potassium level in the blood. If the dose cannot be lowered, then the potassium in the diet has to be restricted. I also look at the phosphorus and calcium values. Sometimes the doctor will start the person on phosphate binders to control this condition. It is also common to restrict high phosphorus foods, which are dairy, beer, nuts, cheese, etc. Almost all people with kidney failure need sodium restriction in their diet. This helps with fluid retention and also blood pressure control. And, of course, but not last, keeping your blood sugar under control is important. When people have renal failure, it is common to stop oral medications and just use insulin for blood sugar control. You might want todiscuss this with your physician. Metformin is always stopped when the creatinine is above normal. So, where can you go to get help? I am sure your doctor has a dietitian that he can refer you to. That is what I would suggest. The old way of restricting protein excessively during renal failure is not usually done today. So, find a dietitian who is knowledgable about kidney failure diets.
Answered By: Janice Fisher
Accreditations: RD, LD, PHD, CDE, BC-ADM
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Community Answers (3)

07/24/09 11:00 PM

this Q/A was very helpful. I do see a dietician/nutrionist twice a year and things seem to go well as long as I follow the eating plan she has made for me. Is it ok to have a banana once a month and maybe a nice juicy farmers market home grown tomato once in a while when they are in season
Answered By: jneibert
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07/10/09 01:05 PM

Hi, I am definitely no expert but if my doctor wasn't helping, I would find another doctor either for another opinion or to replace him.
Answered By: steven22457
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07/10/09 01:05 PM

Hi, I am definitely no expert but if my doctor wasn't helping, I would find another doctor either for another opinion or to replace him.
Answered By: steven22457
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