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The Question
09/02/09 08:33 AM

"kidney transplant recipient need a great otc multivitamin to take everyday with kidney meds and insulin besids prescrbed multivitamins"
Asked By: rwore  
Category: Type 1

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Expert Answers (1)

11/03/09 03:06 PM

Hello RWore: Hope all is well with the kidneys, congratulation as being chosen as a transplant recipient, indicating you have good cardiovascular health.

Diabetes can take a toll on the body, (controlled or uncontrolled blood glucoses levels sometimes), one area very susceptible to injury are the kidneys. As a transplant recipient, I'm sure you are aware of the strict criteria of management. Optimal control of the blood glucose and blood pressure are the continued prevention of nephropathy.

Before you begin any OTC medication, I would strongly urge you to discuss this with your Nephrologists/Health Care team (HCT). I would NOT want you to jeopardize the kidney. The multi-vitamin you are taking is tailored to your health condition; I do not believe additional supplements are necessary.

The National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, offer some demographic details on the incidence and support resources for kidney diseases and treatment modalities.

I have included the nutrition guidelines for adult kidney transplant recipients, 'at all times' include:

  • Consuming consistent carbohydrate to meet energy demands, (I would also conclude, you have worked with a renal dietitian as a member of your health care term);
  • Increase fiber content as to promote bowel regularity
  • protein intake to meet increased demands and build tissue, (as monitored by your HCT).
  • No more than 30% of calories come from fat;
  • Prevent any progression of Atherosclerosis-if present
  • Maintain potassium within normal; restrict or supplement as needed
  • Sodium intake 2-4g, goal of maintaining blood pressure;
  • minimize edema
  • Calcium intake 1000-1500 mg minimize further bone demineralization;
  • Correct calcium/Phosphorus imbalance-if present. Working closely with your healthcare team, RN, RD, CDE, Rph, and PCP/Endocrinologist/Nephrologists is very important.
    Thanks for asking dLife, continue to be your best. Regards Sue
    • Answered By: Susan Throop
    Accreditations: RD, CDE, MA
    Sources Show

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