what do you do if two separate conditions need two different diets??

[grasswire]

Family member is on a low carb diet for type 2 diabetes and to prevent CAD.

Right now, his BUN and Creatinine are elevated and there's some pitting edema. Probably from taking ibuprofen for weeks for muscular pain and inflammation.

The diet that is kidney friendly is totally different from the diet for diabetes!

Kidney needs low protein.

His diabetes diet is high in protein with dairy, chicken, nuts, whole grains.

So confusing.

[DeadLetterOffice]

1. Ask MD for a nutritionist consult.

Sounds complex, and a professional perspective would be helpful I suspect.

[No Vested Interest]

2. My daughter has both these diseases - diabetes and kidney disease.

She has had severe edema, and had a kidney biopsy to identify the problem, identified as membranous nephropathy. (There is a longer word - glomur.... - which I don't remember off-hand , but the first one- membranous nephropathy.

We were told that her kidneys are throwing off too much protein, making her anemic; body not making enough red blood cells because of lack of protein. Some protein is necessary to maintain health.

She has been given Lasix to remove fluid, and has also had restrictions on amount of fluid taken in.

The whole thing is very complicated; daughter has been hospitalized 5 times since Oct., culminating in a stroke in early March which has left her right arm and hand without movement, and she is now aphasic. Her whole life has been changed for the future, depending how much speech she regains, etc.

I hope your family member can keep all these elements under control and live a full, vigorous life.

[grasswire]

3. Dr. said lasix is hard on the kidneys.

Has been taking hydrocholorthiazide for years, lasix was mentioned as a more powerful diuretic, but turns out it is hard on kidneys.

[No Vested Interest]

5. That is likely correct re lasix, but I guess, depending on the patient, the good effects

have to be weighed against the bad.
It sounds as though your family member's illnesses have not progresses as far as my daughter's, and I sincerely hope he is able to keep problems in check.

[grasswire]

4. I'm a little peeved because metformin is damaging to kidneys..

...and yet patient was switched from glipizide to metformin about six years ago.

Nobody seems to pay attention to side effects of meds.

Now they want to switch him back to glipizide. And that brings weight gain, I read. Bah!!

[Warpy]

6. It looks like you do a lot of cooking ahead and freezing

plus laying in a supply of chicken breasts and minute steaks for the diabetic, proteins that can be cooked quickly and added to smaller portions of the kidney friendly foods.