Can efgr improve drastically?

Posted by syedlaeeqahmed @syedlaeeqahmed, Mar 11 10:14am

Hi, everyone my father was diagnosed with ckd and his efgr dropped from 44 to 29 over course of 6months, with strict diet and ongoing medical procedures and doctor visits we were able to restrict bp below 130 and sugar below 150 max (post diet), now i just got the test results done the efgr is back at 44 and serum is back to 1.66 from 2.34 with serum urea being in normal range we had restricted his diet to 4 vegetables no oil no protein nothing. What i am surprised is this sudden jump is this possible??

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@sgsgood8

Please let me know what vegetables he is allowed to eat. Thanks! Steve G.

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These are the only vegetables my father is allowed to eat due to his medical condition (kidney issues and diabetes):

Bhindi – Okra

Tinday – Apple Gourd (a small round squash, like a baby pumpkin)

Tori – Ridge Gourd or Sponge Gourd (similar to zucchini)

Ghia / Lauki – Bottle Gourd (also called calabash or opo squash)

Shaljam – Turnip

Gajar – Carrot

Mix Sabzi – A mix of the above vegetables only (no spinach, cauliflower, etc.)

🧑‍🍳 These are cooked as a light curry (salan) using only one tablespoon of oil — no heavy spices or ingredients that could harm kidney or sugar levels.

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@gingerw

@syedlaeeqahmed I am not a medical professional. Usually a person does have a restricted protein because it can strain the kidneys to process everything. Once they start dialysis, more protein is allowed. My sincere suggestion is to check with your father's medical team and get their input. Having health conditions can truly affect us and our energy. My team, at one point, simply told me to eat what appeals to me.

At this point I use homemade protein shakes to help me. Perhaps a review of all his medications with his team may lead to reducing or eliminating a few?
Ginger

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Thank you so much, Ginger. I truly appreciate your kindness and understand you’re not a medical professional. I’m really sorry if my question came off the wrong way — it’s just that my father is very sensitive, and since you’ve been so helpful in the past, I felt comfortable enough to ask for a small favor.

Moving forward, I’ve been researching and now make sure to give him something light to eat every 3 hours to keep things balanced. Thank you again for your support — it means a lot. 🙏

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@endelfam

I can not speak in medical terms but I can describe my own experience. I am 76 and have had mild diabetes and mild high blood pressure for a number of years. In March 2024 my EGFR registered at 34. Panic set in and I was sent to a nephrologist who cut my hydrochlorothiazide dose in half and referred me to a dietician. I had previously been on a diet that leaned towards keto, heavy on meat, probably a BIG mistake. I was then placed on a mainly plant based diet. No restrictions on corn or potatoes. Moderate amounts of protein. My EGFR has improved over the past year: June 2024-55, November 2024-59, April 2025-65.

I have not cut out cheese/milk/eggs/fish completely but limit portions and frequency. I no longer even have a taste for beef (never ate pork). Will rarely eat a small piece of chicken. Lots of beans, fruits, vegetables and tofu as well. Try to keep sodium down to reasonable amounts. I have my fingers crossed that the improvement will continue.

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Thank you so much for sharing your experience — it really means a lot. My father is 72 and has similar conditions: diabetes, high blood pressure, and chronic kidney issues (Grade 2 renal changes). His eGFR had dropped recently and we've been very cautious since. Your story gives me hope, especially seeing how much your kidney function improved with diet and careful management.

Right now, we’re following a very restricted plan — no spinach, cauliflower, meat, milk, yogurt, or eggs. He’s only allowed a few vegetables like okra, bottle gourd, and turnip, and I make sure he eats every 3 hours to avoid blood sugar crashes. It’s been a tough journey, but hearing real-life success like yours is very encouraging. Thank you again — wishing you continued good health!

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@rajen

Stop salt, control diabetes, no bajri or corn, no potato, contro yur lipid and change life style, you will see drastic improvement in one month.

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I’m so sorry for missing your comment earlier — thank you so much for taking the time to share this. You’re absolutely right. We followed exactly what you mentioned: cut out salt, controlled diabetes strictly, removed bajri, corn, and potatoes, and made major lifestyle changes.

And you're right — the results were drastic within just a month. Your advice really aligns with what worked for us, and I’m very grateful you shared it. Thank you again! 🙏

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@missyq

My EGFR has improved greatly over the years due to a lot of drinking water and taking care of myself in general.

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Thank you so much for sharing your experience — it's really inspiring to hear how your eGFR improved with care and proper hydration. In my father's case, unfortunately, he’s on a strict fluid restriction and is only allowed about 4 glasses of water a day due to his kidney condition. So we’ve had to focus more on controlling diet, blood sugar, salt intake, and overall routine — which thankfully has led to noticeable improvements too. Wishing you continued good health and progress!

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@syedlaeeqahmed

Thank you so much for sharing your experience — it really means a lot. My father is 72 and has similar conditions: diabetes, high blood pressure, and chronic kidney issues (Grade 2 renal changes). His eGFR had dropped recently and we've been very cautious since. Your story gives me hope, especially seeing how much your kidney function improved with diet and careful management.

Right now, we’re following a very restricted plan — no spinach, cauliflower, meat, milk, yogurt, or eggs. He’s only allowed a few vegetables like okra, bottle gourd, and turnip, and I make sure he eats every 3 hours to avoid blood sugar crashes. It’s been a tough journey, but hearing real-life success like yours is very encouraging. Thank you again — wishing you continued good health!

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Really hope that his efforts will be rewarded! Good luck to you and him.

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@syedlaeeqahmed

Thank you so much, Ginger. I truly appreciate your kindness and understand you’re not a medical professional. I’m really sorry if my question came off the wrong way — it’s just that my father is very sensitive, and since you’ve been so helpful in the past, I felt comfortable enough to ask for a small favor.

Moving forward, I’ve been researching and now make sure to give him something light to eat every 3 hours to keep things balanced. Thank you again for your support — it means a lot. 🙏

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@syedlaeeqahmed I am sure trying to find the right combination of food for your father can be quite a hunt, and often frustrating, right? You're a good child doing all this work to help him. Your question didn't feel like the wrong way, please believe me on that! I feel like his medical team and you together have the best information to help him.

Sending good wishes for a successful research and keeping your father healthy. Reading that he is so restricted on fluid, that is a challenge in itself!
Ginger

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@gingerw

@syedlaeeqahmed I am sure trying to find the right combination of food for your father can be quite a hunt, and often frustrating, right? You're a good child doing all this work to help him. Your question didn't feel like the wrong way, please believe me on that! I feel like his medical team and you together have the best information to help him.

Sending good wishes for a successful research and keeping your father healthy. Reading that he is so restricted on fluid, that is a challenge in itself!
Ginger

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Thank you so much, Ginger — your kind words really touched me. Honestly, the journey has been emotionally draining at times. Our nephrologist is considered one of the top in the country, but he's not the best at really listening or explaining things in detail, which has been a bit frustrating.

That said, with your help and the research I've been doing, I've started feeling a lot more confident. Once we get the latest test results on Thursday, I’m planning to very slowly reintroduce small portions — like 1/4th servings — of different food items into my father's diet. He’s been through a lot, and I can’t help but feel heartbroken seeing him restricted like this.

And yes, you’re so right — managing all this while eating alone, locked in a room at midnight, trying not to let him see or smell the food… it’s one of the hardest parts. But I’m hopeful. Really thankful for your support and guidance — it means more than I can say. 🙏

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@syedlaeeqahmed

Thank you so much, Ginger — your kind words really touched me. Honestly, the journey has been emotionally draining at times. Our nephrologist is considered one of the top in the country, but he's not the best at really listening or explaining things in detail, which has been a bit frustrating.

That said, with your help and the research I've been doing, I've started feeling a lot more confident. Once we get the latest test results on Thursday, I’m planning to very slowly reintroduce small portions — like 1/4th servings — of different food items into my father's diet. He’s been through a lot, and I can’t help but feel heartbroken seeing him restricted like this.

And yes, you’re so right — managing all this while eating alone, locked in a room at midnight, trying not to let him see or smell the food… it’s one of the hardest parts. But I’m hopeful. Really thankful for your support and guidance — it means more than I can say. 🙏

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@syedlaeeqahmed I am sure your father understands why you feel the need to secret yourself away to eat the foods he cannot. Perhaps sharing time together, each of you eating what is allowed, will be a bonding time for you? There are foods I cannot eat, but my husband does. It makes me feel less of a sacrifice to see him enjoy his diet!

Often we find our doctors cannot express their thoughts or ideas in a way that we as patients understand. Sometimes a gentle reminder to them that we don't have the intense training they do, that we need to hear it in terms we understand, will help.

I look forward to hearing good progress for your father!
Ginger

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Hello, I am new to this & not really sure how to use this platform. I do have a question, though. I have been reading posts from this group & saw someone mention that they are using "one of the best nephrologists in the country." I would appreciate knowing who that is & hope you will be willing to tell me this nephrologists name.
Thank you!

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