Diet for Kidney diease and type 2 diabetes

Hi,
My kidneys stopped working but were able to be restarted after 18 hours of inaction. I'm now T2 with CKD 3b and am described as having IBS. I can not be medicated for diabetes reacting to every medication known. It is difficult situation to live with but not impossible. I have serious motility and digestive problems which add to the mix. I started out with a kidney friendly diet and cutting back on sugars. The biggest hastle is not finding recipies that are both kidney and diabetes friendly, it is either one or the other, never both. The only alternative for sugar is stevia, most all sugar substitutes have aspertane or are derived from it which is not kidney friendly.
I eat very little red meat and cut out every bit of sodium possible, I don't buy off the shelf man made or adulterated foods. I tend to stick with fresh or unadulterated natural foods, growing what I can as well.
I try not to do anything that could affect my kidney or diabetic health and constantly have blood tests to keep track of my healths state.
Fluid of choice is water only and I keep a check on the colour of my urine to tell me if I'm hydrating enough or not. Urine colour should be a light straw colour, darker drink more, clear for a sustained period you are over hydrating, cut back a little.
I eat to stay alive not to enjoy eating, I can look without touching but if I do touch my diet turns into a see food diet. It is a constant vigil to keep on track with so many temptations insight.
Good luck.
Cheers.

@cheyne Thank you so very much for the advice I was wondering about red meet so I've pretty much stayed away from it using eggs and cheese for protein I'd have to say this diabetes-kidney thing is a nightmare. Russell

@rrr1952 I have stage 3B CKD from norovirus 2 years ago, and IBD (microscoic colitis). I am on Jardiance, an SLGT2 inhibitor even tho I don't have heart disease, diabetes, or high blood pressure (was 120/70, now 105/73). Because of the IBD I don't tolerate NSAIDs, ACE or statin meds, some preservatives, or artificial sweeteners (we went low sugar years ago and don't miss it). So, to make a short story long, I moderate my water intake like @cheyne does because of water loss from IBD. Mostly pescatarian now, we need protein but not as much as the American diet. No beef, limit sodium, potassium, and phosphates. A lot of it is portion control. Hopefully you can find a good renal diatician to help you integrate your CKD and diabetes diets (there must be some out there). Also, exercise is very important to kidney and heart health. I think in the end, the balance is somewhat like a Mediterranean diet, but it should be individualized to your specific health issues.

@rrr1952
Hi,
Eggs are good, cheese not so as with CKD you may find it can cause constipation. I use sardines to good effect despite being high in sodium they are high in energy and slow release so ideal for diabetics and my kidneys don't seem to mind. Sadly not to everyones taste though. Switch to wholemeal breads and try to limit the amount you eat. One thing I do eat is shaved ham slices the thickness you can see through, a max of 4 per day, just about every day on wholemeal bread with plastic butter. Chicken and fish are good along with vegitables but not parsnip as they are high in natural sugars. Stay away from fruit juices as they are also high in sugars, you are better to eat the fruit it's self. A medium glass of juice is equivelant to many fruits at once. Eventually you will find out what you can eat and what to steer clear of from testing your bloods and kidney function. I try to get blood drawn at the same time of day after having done the same things as the previous test date. This gives me a constant to judge how I'm doing. I know I can destroy those test results at will, when I feel my Dr's aren't paying attention. It is so simple and gets undivided attention instantly the results are returned. I found I have to use this trick to persued my Dr's to give me what I thought I should have to start with. Find I have to make it their idea to get results, I must be a bastard of a patient to deal with! But we get there in the end.
With what I go through daily it has been the ability to research everything and sift out the facts that helps me deal with it all. If I left it up to my Dr's I would still be getting temporary paralysis and every other symptom I get from Hyperglycemia and the shrug of the shoulders with the exclaimation we don't know what it is. I'm greatful I have been able to diagnose the problem and prove it with the results of treatment before the paralysis had a chance to become permanent.
While we are all humans we can react or operate in very different ways to any given food or medication. My rule of thumb is to research before taking the next medication that is going to cure me, because they haven't so far. While I think of it stay away from Gabapentin it will knobble your kidneys, I loose 15 percent in days but only get it back after weeks of strict diet. I find like me Dr's don't know everything, big problem is I'm their test case and they seldom get it right at the expence of my health.
Cheers

@cheyne I have found the nurse practitioners know more about my problems and will listen. Seems like when they get a DR in front of their name they can.t be bothered. Thanks for the info and good luck. Russell

@kayabbott Thanks a lot for the info it's good to with people who been there and done it.

@rrr1952
Hi,
The only nurse practitioner I have seen specialised in diabetes. She instructed me to stop doing my daily glucoes checks! Go figure.
Problem is that my Ha1 whatever doesn't correlate to the 15 to 20 glucoes range I have been in for years, my hyperglycemic state and the stage 2 neruopathy I'm experiencing. Problem is it is so easy to blame the patient and shrug the shoulders with I have done all I can, it is psycological. Don't get me wrong there are some good medical practitioners, but all the good ones have left my surgery. I moved to a retirement center mid last year and am breaking in yet another Dr. So far I have had to refute the BS idea it's in my head and have to take my wife with me who can give an independant veiw of how medication is seriously effecting me. Fortunately I can see it now before I become violent, yet again and will stop taking the medication causing issues. Hence I'm human but outside "normal" yet test results prove nothing. I know of 2 others world wide who have the same issues with diabetic medication, small comfort knowing it is not just me or my mind!
I'm starting to question the T2 label as no matter how little I eat I'm still over glucoes level 8 in the mornings and don't experience the morning bump some get. I have never been below unless medicated, I seem to produce an abundance of glucose regardless of diet or conditions. I'm certainly not eating it as I'm struggling with starving and the effects on the body. I do follow a diabetic diet and even documented everything I ate or drank for a month to prove it to one Dr.
Anyway information is power, find out all you can to be well informed and don't let Dr's mitigate your health without your input.
Cheers