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[IP] Re: insulin-pumpers-digest V6 #610



> Date: Wed, 11 Sep 2002 21:21:41 -0400
> From: "melissa atcheson" <email @ redacted>
> Subject: [IP] diabetic kidney disease
>
> I have to disagree with Jan's advice to watch fluid intake with early
kidney
> problems (sorry Jan!).  Dehydration can be very harmful to damaged
kidneys -
> it is important not to decrease fluid intake when kidneys are not working
> 100%.....but. ...once kidneys are no longer functioning & dialysis takes
over
> for them - then Jan is right -- at that point it is very important to
watch
> fluid intake very carefully and decrease the amount of
> pop/water/ice/soup/jello/milk/alcohol/icecream etc... (not a fun diet!).
BTW
> colas won't hurt healthy kidneys, it is when kidneys are sick and can't
remove
> phosphorus that colas are a problem.  The phosphorus builds up in the
blood
> (because the kidneys can't remove it) and it pushes calcium from the bones
> making them weak.  Phosphorus isn't well removed by dialysis (that's why
> phosphate binders are taken with meals) - so colas are not recommended
even on
> dialysis (sorry Jan!)
>
> Melissa
> dx Dec 22/92
> pumping Jan 08/02
>
> Jan said:
> <Don't over drink; IOW if thirsty, drink but don't <overstress damaged
> kidneys.Stop the dark
> <colas, but diet 7-Up, D.Sprite, and diet Root <Beer are okay. So is iced
> tea.

hmmmmm - I certainly disagree with the disagreement. The part that says:
>  "Dehydration can be very harmful to damaged kidneys -
> it is important not to decrease fluid intake when kidneys are not working
> 100%.....but. ...once kidneys are no longer functioning & dialysis takes
over
> for them - then Jan is right -- at that point it is very important to
watch
> fluid intake very carefully and decrease the amount of
> pop/water/ice/soup/jello/milk/alcohol/icecream etc... (not a fun diet!)."
> Once kidneys are no longer functioning & dialysis takes over -

This is NOT the recommendation of my center's whole team of nephrologists -
and they are specialists. Sorry, didn't see your credentials after your
name. ;)

It is important to not overstress already-damaged kidneys by overdrinking
fluid. And this is BEFORE dialysis takes over. BTDT The words *early kidney
disease* are twisting my words as I did not write them. I said, and usually
say, *already-damaged* kidneys. Wonder what my neph will say when I tell him
(and his colleagues) he's wrong!

The required week-before-visit comprehensive lab test keeps all the #'s in
balance and gives the kidneyologist the info to work with in adjusting
anything and everything needed: iron infusion, EPO injections, more/less
calcium intake, the crucial potassium level, etc.

However, you probably know wayyyyy more than I, I'm just a patient who has
finally reached the dialysis stage after 8 years under the care of a
nephrologist after starting with him at 35% function. YMMV

@
\(/ Jan (63 y/o, T-1 11/5/50, pmpg 8/23/83) & Bluda Sue (MM507C 3/99)
http://maxpages.com/bludasue AND http://www.picturetrail.com/dmBASHpics
(including an album of the EVOLUTION OF INSULIN PUMPS)

There are three kinds of people: The ones who learn by reading, The ones
who learn by observation, and the rest of them who have to touch the fire to
see for themselves if it's really hot.
.
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