CKD non-dialysis diet is for people diagnosed with an early stage of chronic kidney disease

A CKD non-dialysis diet is for people diagnosed with an early stage of chronic kidney disease (CKD). There are 5 stages of CKD—stages 1 through 4 are before dialysis is needed, and stage 5 is when dialysis or a transplant is required. Over time, CKD damages the kidneys’ ability to filter waste and excess fluid from the body. Your kidneys will become less effective at doing their jobs, and you will become ill. The CKD non-dialysis diet is designed to help the kidneys keep as much of their remaining function for as long as possible. This diet also helps reduce the buildup of excess fluid and waste products.
What can I eat?
On the CKD non-dialysis diet, you can eat a variety of foods. Depending on your size, symptoms, stage of chronic kidney disease, age, activity level and other health conditions, your renal dietitian will make sure you are on an eating plan that is best suited for you. This nutritious eating plan will feature a prescribed amount of high quality protein, along with carbohydrates and fats to provide adequate calories.
What can’t I eat?
Your dietitian will adjust the amount of carbohydrates, protein and fat you can eat in a day. On the CKD non-dialysis diet, eating less protein is recommended. Eating more nutritious carbohydrates, such as those found in grains, fruits and vegetables is encouraged. Healthy fats such as canola and olive oil may be increased for added calories.
At stages 3 and 4 CKD your protein intake may be limited. The amount depends on your body size and kidney function. Although you may be instructed to eat more carbohydrates and fats to meet your calorie needs, those with little nutritive value (such as candy, soda, animal fats and processed foods) should only be a small part of your diet. If you have other health conditions such as diabetes, high cholesterol or blood pressure, you may be advised to restrict the amount of sugar, saturated fat and salt you can eat.
Why do I have to eat this way?
The goal of the CKD non-dialysis diet is to preserve existing kidney function to delay the later stages of CKD, particularly stage 5, which is also called end stage renal disease (ESRD). This is the stage when dialysis or transplant becomes necessary in order to live.
How does this diet help?
Lowering the amount of protein you eat will allow your kidneys to work with less waste buildup. When you eat protein, your body creates protein waste products, which are eliminated from the body through urine. Damaged kidneys have a difficult time getting rid of protein waste products. As kidneys become overworked, more damage occurs. Cutting back on protein means kidneys process less protein waste and are able to work without additional stress.
High blood pressure can make kidney disease worse. Uncontrolled high blood pressure can also cancel out the benefits of a restricted protein diet. Choosing foods low in sodium can help manage this condition and help keep kidneys healthy. Taking blood pressure medicines prescribed by your doctor will also help.
If you have diabetes, blood glucose control is very important to help preserve kidney function. Studies have shown that keeping glucose levels normal helps delay the development and slow progression of kidney disease.
One concern when following a restricted protein diet is preventing protein malnutrition. It is very important to see your dietitian and doctor on a regular basis so they can monitor your protein status.
The CKD non-dialysis diet is formulated with your optimal health in mind. You can get a great balance of vitamins and minerals from all sorts of foods. Your kidneys will benefit, and your overall health will, too.
What about fluid intake?
In the early stages of chronic kidney disease, you will be able to drink your normal amount of fluid. If you notice swelling, this may be a sign of fluid retention. It may result from eating high sodium foods or decreased kidney function. Your doctor and renal dietitian will monitor your condition and recommend adjustments to your diet and medications as needed.
How long do I have to follow the CKD non-dialysis diet?

You will need to follow the CKD non-dialysis diet as long as your doctor and dietitian recommend. The diet may be changed over time to meet your health needs and reflect any changes to your condition.

Valor nutricional de las peras tienen un impacto significativo en la enfermedad renal

Diabetic nephropathy

Fruits can provide the abundant vitamins, mineral substance and dietary fiber. In the past, people thought that Diabetes patients could not eat fruits, which is because that fruits contain lots of sugers.

As a matter of fact, most of the sugars in fruits are fructoses. The absorption and metabolism of fructose don’t need the help of insulin, but diabetics can not eat too much, that is because fructose has an influence on blood fat. From the point of view of the glycemic index (GI) of blood sugar, the GI of most fruits is less than 55, they are belong to low-GI foods and don’t have a big effect on the blood sugar, except for watermelon and seedless grape. So Diabetes patients can choose some fruits with low GI. The higher the acidity of fruits is, less it affects the blood sugar, such as plum and tangerine.

Certain foods must be avoided to maintain the best possible health. However, while eliminating or greatly reducing electrolytes or other food elements that are potentially harmful to someone with CKD, the person may also be eliminating essential protein, vitamins and minerals. Therefore protein, vitamin and mineral supplements are often prescribed as replacement therapy. Medicines that help patients eliminate unwanted levels of other electrolytes found in many foods are also prescribed. So the renal diet can be a difficult balancing act.

What should diabetics pay attention to when eating fruits?

1. Diabetes patients had better not eat fruits immediately before or after dinner. The suggested time is 10am or 3pm or one hour before going to bed.

2. When the blood sugar has not been controlled well, it is ok for diabetics don’t have fruits temporarily. When blood sugar is controlled well, they can enjoy the yummy fruits.

3. The carbohydrate content in all kinds of fruits is about 6%-20%. Diabetics should choose the fruits with low sugar content and low GI. Generally speaking, orange, apple, pear and kiwi are suitable for diabetics. Fruits with high sugar content like ripe banana, leechee, red dates, pineapple and grape should be eaten less. There are no fruits which are forbidden strictly.

4. When eating fruits, you should consider your physical condition. Patients with deficiency-cold in spleen and stomach should avoid eating cool fruits, such as pear, watermelon. Patients with endogenous heat should avoid leechee and red bayberry.

5. The amount of fruits you eat should not be much. 200g per day is ok. You can eat different kinds of fruits with different CI every day.

Para obtener más información, por favor consulte a nuestros expertos

Juice beneficial for kidney disease

Juice beneficial for kidney disease

IgA Nephropathy, also known as Berger’s disease, is a kidney disease that occurs when an antibody called immunoglobulin A lodges in your kidneys. There is no doubt that diet can help people improve their condition. However what juices are good for IgA Nephropathy? I would like to share with you some juices that are allowed.

There are always many people ask me such kind of question. What I want to say is that you can never depend on certain food or drink to treat your problem, even though they can help you to some extent. Timely treatment is the most important.

Having a high level of urea in your blood indicates that your kidneys are not functioning properly. This doesn’t necessarily mean that this is a serious kidney problem; people with high blood pressure, diabetes or water infections could have raised urea, or it could be that you have been eating unusually high protein foods. Stress or a high fever can raise levels too. If you are aware of a kidney problem then it is normal for your Urea levels to be raised.

Celery juice
Celery contains abundant vitamin A, vitamin B1, vitamin B2, Vitamin C, nutrition, fibers, calcium as well as other minerals. Therefore, it is good for lowering high blood pressure, alleviating anemia, increase urine output, improve digestion, and prevent or treat urinary tract infection.


Aloe Vera Juice
Aloe Vera juice is known to be an anti-inflammatory, anti-viral, and anti- bacterial supplement. It is a very beneficial supplement for great overall kidney health, as well as the relief of pain from a IgA Nephropathy.

Cranberry juice
Not only cranberry juice, but also many other berries, are known as the rich source of vitamins, minerals, and powerful antioxidants. Drinking this kind of juicing is help for enhancing your immune ability.

Carrot juice
One rich content in carrot is carotene, which can be processed into vitamin A. Vitamin A can help prevent from infection in respiratory tract, urinary tract and intestinal tract. What’s more, carrot juice can help lower

There is no evidence that lime juice can reduce urea. Actually, lime juice is beneficial for dissolving kidney stone because the rich content of citric acid. However, there are some other foods that you can take to reduce urea level such as berries (cranberry, blackberry and strawberry), nettle leaf tea (herbal tea), and cinnamon, etc.

Even thought there are so many benefits of the juices listed above, some IgA Nephropathy patients are required to limit or avoid them. Since fresh vegetables and fruits contain relatively high of potassium and phosphorous, which are dangerous for the patients when the kidney cannot keep the electrolyte balance.

In a word, not matter what drinks or foods you want to take, you should consult your doctor. You can also tell us your illness condition so that we can give you some suggestions. Our email address is sjzhospitalrenal@hotmail.com . Our doctor online are also available.

Kidney patients can drink chamomile

Kidney disease 

Because healthy diet helps slow progression to kidney failure. Chamomile is often used in folk and traditional medicine for its health benefits. If person with kidney disease consume chamomile tea, does chamomile do damages on kidneys?

Before going to the topic, let’s first see the functions of chamomiles.

1. Chamomile helps boost immune system.

Chamomile has an anti-microbial agent that helps boost the immune system. It can inhibit harmful bacterias.

People with stage 3 CKD often have a poor immune system. The medicine you take such as immunosuppressor will decrease your immune system as well. Poor immune system will expose you to more disease. Chamomile tea is an immune system booster, which can protect you.


2. Chamomile helps with diabetes.

Some studies seem to indicate that certain complications of diabetes such as loss of vision, nerve and kidney damage can be ameliorated by consuming chamomile. People with diabetes show significant reduction in the amount of blood glucose levels as well as tow enzymes that cause nerve damages.

If your kidney disease is caused by diabetes, chamomile tea may be beneficial for you. Because daily consumption of chamomile tea is found to prevent the progression of diabetic complications and hyperglycemia.

3. Chamomile is good for alleviating muscle cramps.

Drinking chamomile tea was associated with an increase in urinary levels of glycine, an amino acid that has been shown to relieve muscle cramps.

4. Normalizing kidney function

Chamomile volatile oil used on impaired kidney can normalize kidney function.

Besides, chamomile has been shown to decrease inflammation surrounding the kidneys. Overall speaking, chamomile will not cause kidney damage. Chamomile contains various bioactive phytochemicals that provide therapeutic effects. Chamomile can help in improving cardiovascular conditions, stimulate immune system and provide some protection against cancer.

Too much fluid intake may cause edema. Therefore, you should pay attention to its intake. If desired, please feel free to contact us. Online doctors can help you. so a physician should be consulted especially when consuming large amounts of chamomile.
Email:sjzhospitalrenal@hotmail.com 

Plums are a good source of vitamins

Kidney disease 

Plums are a kind of super fruit, which has many health benefits. Are plums healthy for kidney patients? The answer is certain. Eating plums has many health benefits for kidney patients. In the following, you will see them. But there is an old saying in China that too much is as bad as too little. How many plums can you eat a day? We will discuss in this article also.

Health benefits of plums

Many kidney patients suffer from renal osteopathy. Eating plums can improve bone health, because it contains rich amount of flavonoids compounds. It also contains boron which plays an important role in ossification and actively participates in the preservation of bone density and general upkeep of your bones.

-Raw plums contain various amino acids, such as serine, glycine, proline, glutamine, etc. They are diuretic so as to reduce your edema. Besides, plums have detoxifying effect on the body so as to reduce the burden on the kidneys.

-Plums contain iron, which are required for red blood formation so as to ease renal anemia. Besides, plums have the increased ability to absorb iron in the body due to the high vitamin C content in this fruit.

-Plum is a good source of antioxidants and anti-inflammatory properties which increases circulation and cell metabolism reducing inflammation.

-Plums are packed with rich fiber, which help digestion, good metabolism and lower cholesterol level.

-Plums also contain vitamin K, which opposes unnecessary blood clotting all around the body so as to provide a good blood environment for kidney self-healing.

-Eating plums boosts bone health due to rich amount of penoic and flavonoids compounds so as to reduce the risk of renal osteopathy.

How to eat plums healthily?

Due to kidney function impairment, fluid and toxin retain in the body. Plum has diuretic and detoxifying effect on the body, which can alleviate the symptoms, such as edema.

If your kidney disease is caused by diabetes, phytonutrients in the plum control the release of glucose into the blood after you have just eaten your meal and regulate insulin spike between the meals.

Plums contain oxalic acid, which easily deposits in the body and crystallises into kidney stone for kidney patients, so you had better limit the intake of plums. How many plums you can consume depends on your kidney function.

Our doctors can help you make a personalized diet plan according to your medical condition, so please leave your basic information below or send it to sjzhospitalrenal@hotmail.com