Diet for diabetes and stage 4 CKD - very confusing.

@nellieb312 yes my GFR did get better from 14 - 35! I did not do anything different than what I’ve been doing for the past 2 years other than an attitude adjustment. I’m a Christian and have given my life over to God for whatever His purposes for me are. I believe in eternal life in heaven with God when this life & body on earth are done. I still believe that, but I’m a bit of a control freak and up until about a year ago I was insisting that I’d rather die than live with any kind of dialysis. It occurred to me that maintaining that stance was not really yielding my life to God’s plan for me. I was being sinfully stubborn. It sounds unbelievable, but once I confessed this and became agreeable to God’s program my GFR improved! I’m still listed for kidney transplant (currently inactive status), still looking for a living kidney donor and hoping for a preemptive transplant. I’m trying to take good care of myself and I’m hoping/believing in God’s best for me.

Is there a particular diet a stage 3 CKD patience has to follow. If so where can I find that please?

Thanks

@ruki Welcome to Mayo Clinic Connect. You have tapped into an older discussion, but still a worthwhile read!

Here is a link to meals and recipes for chronic kidney patients from our kidney and bladder group:
https://connect.mayoclinic.org/discussion/my-ckd3-meals/
Feel free to look through our group, and I look forward to hearing your thoughts. Have you been diagnosed with CKD Stage 3? What have they determined is the cause of your disease?
Ginger

It is difficult to figure out a RENAL DIABETIC DIET. The cookbooks I’ve found are for patients with DIABETES or CKD but do not take into account someone with both chronic diseases. You cannot choose one or the other but must consider both when meal planning since the limitations of each are quite different. I would greatly appreciate any suggestions. Thank you!

@jsaling You're so right! From what I have read, basically it is combining the two together, as you said. What is allowed on one, may not be allowed on the other. Quite a battle to find what is tasty, and good for us. Nothing is easy, is it?
Ginger

@jsaling, Scroll back to see my kidney-friendly diabetic recipes or ask Ginger to re-post the link. Hope you find something you can use, as a diabetic with CKD I sure can relate to your difficulty.

I suggest Ginger resends the link.
I have the same confusion.
Most people with CKD are also diabetic.
Therefore there must be some recipients that are more friendly (and simple to prepare) for these patients.

I have Type II diabetes and CKD 3b. I recently met with my Mayo Rochester kidney doctor, and she told me to follow my diabetes diet, and keep salt and protein (any protein, animal and plant based) intake low. No other restrictions were given to me concerning my kidney problems.

@jsaling I also have both conditions. I got a referral from endocrinologist & nephrologist to land a nutritionist well versed in both conditions. I was blessed with resources for both. My hopes and prayers for you to find the same.

@lindes With Stage 3b, my take is to also be watching food with high potassium, phosphorous, and calcium, along with the sodium and protein levels. Kidney disease can slide real quickly to lower levels of health, and higher stages of CKD. That's the biggest issue with kidney disease, in my own case and as many of us will attest to, also. Kidney disease often sneaks up on a person, and we learn to live well with decreasing kidney function, until [it seems[ all of the sudden, we can't.

Diabetes and high blood pressure appear to be the main contributing factors for chronic kidney disease. Other factors that people experience can be medication interactions [long term or not], lifestyle choices, or genetic factors [such as polycystic kidney disease]

@evdos Here are the links from @kamama94 She will tell us that some food labels have changed, so it does bear value to read carefully, and become your own best advocate.
https://cdn.prod-carehubs.net/n1/748e8fe697af5de8/uploads/2021/05/DIABETIC-AND-RENAL-FRIENDLY-VEGETARIAN-1.pdf
https://cdn.prod-carehubs.net/n1/748e8fe697af5de8/uploads/2021/05/DIABETIC-AND-RENAL-FRIENDLY-VEGAN-AND-NATIVE-AMERICAN-RECIPES-2.pdf
As for trusted websites to research for diet plans, check out
-National kidney nutrition guidelines based on your current stage https://www.kidney.org/nutrition
-American Kidney Foundation guidelines for diet and recipes - https://kitchen.kidneyfund.org/?source=google&medium=cpc&campaign=kidneykitchen&gclid=Cj0KCQjw166aBhDEARIsAMEyZh5XN0g5gDSF5SJigl9Q8juUvv3c0BXgXIsLHpjVdYXf6mDBild-MdIaAoT9EALw_wcB
-DaVita diet and nutrition [one of the two major players in dialysis] https://www.davita.com/diet-nutrition

Lots of reading material here! We're here to listen to questions/concerns/experiences you have! Remember, everyone is different. What may work for you, may not be suitable for others. And that's what makes Mayo Clinic Connect so valuable for everyone. In my case, not only do I follow a renal diet, I also need to consider my gout issue, so I have restrictions there. I really miss mushrooms! And, I was recently cleared to eat more potassium foods due to low levels in my system - yeah! for orange juice again!
Ginger