Nephrologist and dietitians

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Nephrologist and dietitians


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Old 09-23-2015, 21:50   #1
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Default Nephrologist and dietitians

I will be seeing a nephrologist tomorrow for the first time after being hospitalized last week for hyponatremia (low blood sodium). I expect I will hear him say that I need to see a dietitian and I'm wondering if anyone else has heard this same advice and what you did about it?

LCHF is too important to me to stop it although I can see the wisdom of reducing my protein if necessary. I'm really confused at this point. When my blood sugar gets low I know what to do. However when my blood sodium level gets low - I can't even test it without seeing a doctor. And here I thought I knew how to self manage my diabetes....what a surprise for me.

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Old 09-24-2015, 02:08   #2
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At the risk of sounding like a simpleton, can you just use more salt?

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Old 09-24-2015, 02:23   #3
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Quote:
Originally Posted by RCG View Post
At the risk of sounding like a simpleton, can you just use more salt?
I don't think you sound like a simpleton and to answer your question "Because I have high blood pressure and take 3 meds for it, I've always been told to avoid salt which I do .... literally." When I see the nephroligist tomorrow I will ask him the same question you raised here. Oddly enough my home BP readings are better without the 2 water pills than they ever were with them. Go figure.

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Old 09-24-2015, 03:38   #4
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I had never eaten much salt, don't like things too salty. For years my sodium was at the bottom of the reference limit or lower. Since we had been preached "low sodium" along with "low fat" I figured it was fine. I have been on meds for hypertension for several years-blood sodium still low. So obviously my high blood pressure is not from being salt sensitive. Doesn't seem like yours is either. For the 98% of us who are not salt sensitive the advise to eat low salt makes about as much sense as telling us to eat low fat. For what it's worth.

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Old 09-24-2015, 05:45   #5
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I'm eagerly awaiting your discourse on this as my HBP doesn't seem to react to sodium, but I'm low sodium anyway since first pregnancy when I lost my taste for salt as ordered by my doctor. However my mother who had dementia had as the only outstanding blood test was that...low blood sodium and no doctor could tell me what that meant. For 5 years I've tried to balance salt in diet and my HBP order.




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Old 09-24-2015, 11:18   #6
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I thought LC/LCHF eating tends to tell the body to release more sodium (item #4). If that is happening to you, maybe you really might need to up your salt intake slightly - just to keep at safe, low levels.

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Old 09-24-2015, 18:46   #7
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So true Nancy. My go-to is a cup of broth withsalt added and a big chunk of butter stirred in.

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