Sodium intake

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Sodium intake


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Old 12-22-2017, 13:51   #1
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Default Sodium intake

As diabetics, heart health is always a matter of concern. For reasons I'd rather not get into at the moment , I ended up having conversations recently with two doctors about heart health.

Both practitioners thought my typical daily coffee consumption (about 30 ounces) was borderline high and could adversely affect cardiac health. This despite this recent study that shows that that amount is near the "sweet spot" for potential coffee benefits versus potential coffee issues.

But neither doctor asked a single question about my sodium intake. Given how long old information is perpetuated in the medical world, I would have expected the old advice to "cut down on sodium" if one is at risk for heart problems. But I wasn't even asked about it.

Are sodium levels no longer an issue? Are other diabetics being advised by otherwise-current doctors to watch their sodium intake? Or has the notion dropped off the map?

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Old 12-22-2017, 14:57   #2
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Quote:
Originally Posted by itissteve View Post
Are sodium levels no longer an issue? Are other diabetics being advised by otherwise-current doctors to watch their sodium intake? Or has the notion dropped off the map?
That's a really good comment or question itissteve. Come to think of it, I have never been asked about my sodium intake either and my doctor does check my heart sending me to the hospital to get EKGs where the tests always indicate that I have never had an heart attack and everything appears fine.

Most of my sodium intake advice comes from the media - primarily that North American Processed food have more sodium than its European counterparts and that North American Manufacturers should decrease its salt in the food process.

But not once have I ever had a nutritionist or doctor even comment on sodium intake let alone ask me about it.

That's interesting!

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Old 12-23-2017, 01:02   #3
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Good discussion on sodium. Since I don't eat processed food, I don't get my sodium there. I have to add it to my diet, and I do. I am particularly cautious of all my electrolyte levels since I was recently hospitalized with acute kidney failure caused by dehydration. Water alone is of little use for me so I also drink an infant rehydration / electrolyte replacement drink daily.

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Old 12-23-2017, 03:14   #4
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My BP had run around 130/80 since I was teen. I used to eat a lot of salt on everything. I quit eating salt about the same time I quit eating all those "unhealthy" saturated fats, but I'm sure I more than made up for it with the added salts in processed foods. About 2 months before getting a quad bypass, the cardiologist had put me on BP med. My BP, which wasn't too bad high to begin with, came down a little. After my surgery, BP started creeping up and my BP med was doubled and then another was added at my first follow up with the cardiologist. I still wasn't eating much salt, what salt I used was pink sea salt. I have been using more and more salt since my surgery, 2 1/2 years ago. My first BP medicine had been cut in half and then dropped, my second BP med has been cut in half twice. My BP recently has been 124/70 and 106/60 so I'm not really seeing all salt as unhealthy for the masses as it has been portrayed, similar to natural fats.

I've heard there is a big difference between sea salt and regular table salt. Beside having more minerals, someone told me it had a lot less silica. I haven't done any checking on it to try to verify. With my BP doing good even with additional salt and BP med reduction, I'm not to motivated to spend much time looking right now.

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Old 12-23-2017, 14:42   #5
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As I understand it, it is all about controlling your Blood Pressure! Salt can impact BP, but unless you eat large amounts most people are not impacted from salt. Within a few weeks of starting LCHF in 2015 I started getting light headed and even dizzy! Folks on this website said, eat salt, ... and as soon as I increased my salt intake, these problems went away. I should have known this as I was losing weight very fast, and much of that was water. Electrolytes were messed up...

In the summer of 2016, my wife and I started having a 'heart scan' every three years as a preventative diagnostic tool so if I start developing some problems, I will see it coming. Meanwhile I focus on my BP! We both are now 67. I have a family history of heart problems. My wife is adopted, so she has no idea...We both passed our scans, my wife was in perfect heart health, I was 50/50 with something on the back of my heart? That led to a stress test where they found I had a very healthy heart. The calcium seen on my scan was not in the vessels or heart and of no danger.....so I too ended up with a 'clean bill of health'....

I now snack on sun flower seeds at times, keeps me from slipping up and keeps my salt balanced, as I am still losing weight, not fast, but losing.

I don't buy the old thing about salt and I don't by much of the 'fat' dangers either! Moderation and monitoring my blood sugars, BP and overall heart health....has allowed me to sleep with a clear mind!

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Old 12-23-2017, 19:40   #6
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If you have chronic kidney disease (CKD), your doctor and dietitian may advise you to follow a low-sodium diet, which includes limiting salt and other sodium containing ingredients. Too much sodium can be harmful for people with kidney disease because your kidneys cannot eliminate excess sodium and fluid from your body. As sodium and fluid build up in your tissues and bloodstream, your blood pressure increases. High blood pressure can cause more damage to unhealthy kidneys. This damage further reduces kidney function, resulting in even more fluid and waste build up in the body.

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Old 12-23-2017, 20:10   #7
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by the way, to test for kidney functionality, a blood test can be done easily.
Glomerular Filtration Rate (GFR) based off of ones serum creatinine.

Stage 1 with normal or high GFR (GFR > 90 mL/min)
Stage 2 Mild CKD (GFR = 60-89 mL/min)
Stage 3A Moderate CKD (GFR = 45-59 mL/min)
Stage 3B Moderate CKD (GFR = 30-44 mL/min)
Stage 4 Severe CKD (GFR = 15-29 mL/min)
Stage 5 End Stage CKD (GFR <15 mL/min)

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Old 12-26-2017, 19:35   #8
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I will do some added research but looking at my labs I get from my doctor, his goal for me is....

GFR Non AA (African American) Norm/ Goal = 60 - 200

Their is a different rule for AA!

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Old 01-20-2018, 02:07   #9
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i've been on a bit of a pottasium kick while investigating my electrolyte balance. i knew that i was getting enough salt and i knew i wasn't getting enough potasium, so i did quit abit of reading about pottasium. it turns out the ratio of salt and pottasium may have a greater affect on your heart health than simply reducing your salt intake. pottasium counteracts sodiums tendancy to cause high blood pressure.

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Old 01-20-2018, 02:32   #10
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Quote:
Originally Posted by NSDad126 View Post
it turns out the ratio of salt and pottasium may have a greater affect on your heart health than simply reducing your salt intake.
NSDad, did your research point to a specific ratio, like 1:1 or 2:1?

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