Nutrition for Hyponatremia with kidney failure and diabetes

[pbdesigns68]

Looking for more information on food for kidney stage 1 failure with hyponatremia (low salt so must restrict liquids) and diabetes. My 95 yo mom was recently diagnosed and really not sure what to feed her anymore or how to get answers. Doctor is saying mixed things and trying to find nutritionist in Cincinnati area to give some answers to this

[Darlenia]

That's amazing! Your mom is 95 years old! That's really good. I can see why it's hard to figure out how to work with this. Your mom is at a very early stage of CKD. And that's very good. I would ask her doctor what is the underlying reason for her CKD...is it the diabetes, her age, the hyponatremia , a combination of everything, etc. Then, ask the doctor or nutritionist how to approach meal planning and preparation, if that is needed. My sense is that her doctor, other than restricting her water intake, might ask you to reduce sugars and carbs for the diabetes. Or perhaps he'll simply change her prescription for the diabetes. In general, strict renal diets aren't encouraged for those in the early stages of CKD. Should she go on a diet, please make sure her doctor approves and that she gets frequent blood draws. It's important her electrolytes stay in the normal range and her sodium is already low. Although age definitely complicates matters, your mom seems to be a trooper. I'm cheering for her to make it to 100 and beyond!

[barbara55109]

Was she diagnosed by a kidney specialist, a nephrologist? Or does her eGFR test just put her into the level one category with an eGFR of above 90. Has the eGFR lab showed repeat findings over several months? Age related decline in kidney function is quite normal and isn't really the same as Chronic Kidney Disease. CKD usually has an underlying condition like diabetes, high blood pressure, genetic issue, and so one. CKD is progressive and often leads to dialysis and/or transplant. An eGFR above 60 was previously not even shared with patients and not even classified as CKD. Patients demanded earlier warnings and most charts now show a specific eGFR score, even if above 60. I recently posted a long list of articles about age related kidney decline. Many specialists want the eGFR score to account for age - it doesn't currently. The life expectancy for someone over 65, with an eGFR above the mid 40s has the same expectancy of others their age who have no sign of kidney decline. Is you mom's Dr focusing on the diabetes? Is it in control? I'm not a Dr. Have her seen by a nephrologist and talk with them about age related kidney decline vs CKD.