Hello, and welcome to another Humpday post. If you read here often then you already know a few things about me. One is that I have CKD and get lab work every 6 months, but I have been stage 2 for two cycles now. I had my lab work for both doctors done on Monday. Lipid panel for my GP and a renal panel for my Nephrologist. I have been feeling kind of yucky since I got the Covid booster and was thinking maybe I was slightly anemic. However, I am under a great deal of stress right now with my nursing job. I am thinking that is some of the reasons I am so tired. Anybody who has CKD knows stress is not a good thing. Anyway, I have a plan for that, it just will take some time.
My Lipid Panel has come down significantly. I have been fluctuating quite drastically. Whenever I try to lose more weight, by decreasing carbs, it shoots up super high. Then I modify my diet and increase my fiber intake, and it comes back down. This time was no different. I increased my carb and fiber intake and decreased fat and meat sources, and it came down, though not to normal. So, I still have to tweak my diet some. Statins will kill my kidneys for sure and I do not have any intentions of taking one if I can avoid it. So far my GP has been really good about monitoring the labs and not nagging about a statin. I have no symptoms of any heart disease so that is why she is probably not pressing the issue.
My renal panel I was slightly disappointed, but only slightly. Before January of last year’s first set of labs for 2021, I was hovering around 47-49 with my eGFR. So for 4 years that was my baseline after I recovered from the left kidney failing. I worked very hard in 2020 to lose weight, modify my diet, even more, deal with stress, and manage my CKD. The results were that in 2021 I was able to get my eGFR to 60 and 61, putting me at stage 2 for two cycles, or 12 months. I just had it done Monday, which would count for January 2022 and my eGFR had slipped to 57 and my creatinine was only very slightly above normal. Even though I had hoped it obviously was still above 60 I can live with 57 because that means that is my new baseline, 57-60 which means I still have room to improve. One very important correlation I have noticed is that when my urine Albumin is below normal is when my eGFR improves. Even though my urine Albumin was in the normal range this time, the last two times it was below normal, my eGFR decreased. This tells me having Albumin in my urine, even at normal levels is harmful to kidney function. The way to solve this is to decrease my protein intake, especially from meat sources, and processed foods, back down to 10-15% of my daily intake. I have been talking about this for some time how these foods are detrimental to the kidneys, possibly. I think the correlation is very strong in my case. Over the holiday week, I ate things I would not normally eat, prime rib, donuts, bakery bagels, chocolate, cookies, etc. My fiber intake decreased and my intake of beef and processed foods went up. Now, I am not saying I will never eat these things, but my moderation was not moderate enough. Plus, these foods are high in Phosphorus and Sodium. I think I have narrowed down the correlation between too much Phosphorus intake and how my body responds, my eyesight is worse, and my tastebuds are affected. I do not drink enough either, this time of year because it is not hot and I am not as thirsty. I have to work on this more. These types of foods are also generally void of potassium. I typically eat a lot of potassium. Typically at least a banana or potatoes every day. I have not been doing that for the last two weeks due to trying to follow a lower-carb diet. How do I know when I am not getting enough potassium? I get leg cramps, terrible annoying leg cramps. I had no bananas or potatoes in the house, but I did have mandarins. One of those relieved the leg cramps in a matter of minutes. Learn to know your body signals that something is amiss.
So, all in all, I am pleased with my labs, but I realize it could have been better if I had eaten better, exercised more, drank more water, and dealt with my stress levels better. I am sure my kidney doctor will want to repeat them in 6 months, so there is that.
Please note I am stage 3A to 2, not on dialysis, not a diabetic, controlled blood pressure without medication, take only Vitamin D and Sodium Bicarb. How I eat and manage my CKD may not be what you need. We are all different, however learning to manage your CKD, is vital to your wellbeing. If you would like to learn about how a health coach can help you, please use the contact form at the end of this post to send me an email, or you can just email me at firstname.lastname@example.org or you can simply click on one of my available plans below to learn more.
Tomorrow, I will share my top posts for 2021, things I will be doing with this blog in 2022, changes to my life I will be making, and so much more for the new year. Be sure to come back and read all about it. If you like this content please like and share to help increase my views and search engine ranking. I will also be discussing topics for monthly posts. Next week I have a super packed week, so I am unsure how much blogging I will get done.