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Kidney DietEssentials



KIDNEY DIET ESSENTIALS:UNDERSTANDING YOUR pH LEVELS

PH Imbalances

Over acidity within the body can cause a number of issues for kidney disease suffers as it has been shown to weaken all body systems. An acidic internal environment in the body is more suseptible to disease, as opposed to a pH balanced environment which allows normal body function necessary for the body to resist disease. When excess acids must be neutralized our alkaline reserves are depleted leaving the body in a weakened condition, which results in energy not being used to heal or strengthen. A pH balanced diet, according to many experts, is a vital key to health maintenance.

Most people who suffer from unbalanced pH are acidic. This condition forces the body to borrow minerals— including calcium, sodium, potassium and magnesium—from vital organs and bones to buffer (neutralize) the acid and safely remove it from the body. Because of this strain, the body can suffer severe and prolonged damage.

Understanding pH

pH (potential of hydrogen) is a measure of the acidity or alkalinity of a solution. It is measured on a scale of 0 to 14 — the lower the pH the more acidic the solution, the higher the pH the more alkaline the solution.

When a solution is neither acid nor alkaline it has a pH of 7 which is neutral. Water is the most abundant compound in the human body, comprising 70% of the body. The body has an acid-alkaline ratio called the pH which is a balance between positively charged ions (acid-forming) and negatively charged ions (alkaline-forming.) The body continually strives to balance pH. When this balance is compromised many problems can occur.



Testing your body’s pH

It is recommended that you test your pH levels to determine if your body’s pH needs immediate attention. By using pH test strips, you can determine your pH factor quickly and easily in the privacy of your own home.

If your urinary pH fluctuates between 6.0 to 6.5 in the morning and between 6.5 and 7.0 in the evening, your body is functioning within a healthy range.

If your saliva stays between 6.5 and 7.5 all day, your body is functioning within a healthy range. The best time to test your pH is about one hour before a meal and two hours after a meal. Test your pH two days a week.

It is important to understand that you are not testing stomach acid or the pH of the stomach. You are testing the pH of the body’s fluids and tissues which is an entirely different matter.

It is a good idea to keep track of your pH levels, to ensure you are giving you body a fighting chance to heal and strengthen against further kidney damage.



Your pH can be measured using a simple at-home test that measures the acidity of your urine (first of the day is best) or saliva.

It’s ridiculously easy and cheap to measure your pH. All you need is a box of pH test strips. They are extremely inexpensive and you can buy them at most health food stores or online. Testing your pH takes less than a minute. The following test results indicate pH status.

KIDNEY DIET ESSENTIALS:UNDERSTANDING YOUR pH LEVELS

Name of Test

What it Indicates

Reference Range

DiagnosisTest

ResultsTest

ResultsTest

Results

Urine pH How well your body is excreting acids and assimilating minerals, especially calcium, magnesium, sodium and potassium.

Healthy range:

Fluctuatesbetween 6.0 - 6.5in the morning and between 6.5 - 7.0 in the evening

Levels below6.5 the body’sbuffering systemis stressed, a state of “autotoxication” exists, and attention should be given to lowering acid levels

Date:

Result:

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Saliva pH The activity ofdigestive enzymesin the body.

Healthy range:

Between 6.5 - 7.5

If the saliva pH istoo low (below6.5), the body may be producing too many acids or may be overwhelmed byacids because it has lost the ability to adequately remove them through theurine. If the saliva pH is too high (over 6.8), the body may suffer greatly,e.g. excess gas,constipation and production of yeast, mold and fungus.

Date:

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The reason acidosis is more common in society today is mostly due to the typical diet majority of the population is ingesting. It is far too high in acid-producing animal products like meat, eggs and dairy, and far too low in alkaline-producing foods like fresh vegetables.

Additionally, we eat acid-producing processed foods like white flour and sugar and drink acid-producing beverages like coffee and soft drinks. We use too many drugs, which are acid-forming; and we use artificial chemical sweetners like Splenda, Equal, or aspartame, which are extremely acid-forming.

KIDNEY DIET ESSENTIALS:NUTRITION CHOICES

ALKALINE FORMING FOODS

FRUITS

Apples/ciderApricotsAvocadosBananasBerries (most)CantaloupeCarob (pod only)CherriesCitronCurrantsDatesFigsGrapes*GrapefruitGuavas*Kumquats*Lemons (ripe)*LimesLoquatsMangosNectarinesOlives (ripe)*OrangesPapayasPassion FruitPeachesPearsPersimmonsPineapple (fresh)PomegranatesMelons (all)RaisinsSapotesTamarind*TangerinesTomatoes (fully ripened)

VEGETABLES

Alfalfa sproutsArtichokesAsparagusBamboo shootsBeans (green, lima, wax,string)BeetsBroccoliCabbagesCarrotsCeleryCauliflowerChardChicoryComCucumberDillDockDulseEggplantEndiveEscaroleGarlicHorseradishJerusalem artichokesKale

LeeksLettuceMushrooms OkraOnionsOyster plantParsleyParsnipsPeasPeppers (bell)Potatoes (skin is best part)PumpkinRadishRomaine lettuceRutabagasSauerkrautSoybeansSpinachSproutsSquashTurnipsWatercressYamsSweet potatoes

GRAINS

AmaranthQuinoaBuckwheat & millet arethought to be either neutral or alkaline.

NUTS

AlmondsChestnuts (roasted)Coconut (fresh)

MISC

AgarCoffee substituteHoneyKelp (edible)Tea (herbal & Chinese)Egg yolks



KIDNEY DIET ESSENTIALS:NUTRITION CHOICES

ACID FORMING FOODS

FRUITS

All preservesAll canned with sugarBlueberriesCranberriesDried-sulphured, glazedOlives (Pickled)PlumsPrunes

VEGETABLES

Asparagus tips (white only)Beans (dried)GarbanzosLentilsCornOlivesWinter Squash

GRAINS

BarleyBran, oatBran, wheatBreadCornCornstarchCrackers, sodaFlour, wheatFlour, whiteHemp Seed FlourKamutMacaroniNoodlesOatmealOats (rolled)Rice (all)Rice CakesRyeSpaghettiSpeltWheat GermWheat

BEANS & LEGUMES

Almond MilkBlack BeansChick PeasGreen PeasKidney BeansLentilsPinto BeansRed BeansRice MilkSoy BeansSoy MilkWhite Beans

NUTS

CashewsLegumesPeanut ButterPeanutsPecansTahiniWalnuts

MISC

CocoaCoffeeMustardPepperSoft DrinksVinegarBeerHard LiquorSpiritsWine



1. Keep Hydrated

Our bodies are made up of 70% water, so keeping properly hydrated will make a huge difference to your health, energy and immunity.

• Drink 6-8 cups of water a day.• Drink lemon water upon rising as it helps cleanse the digestive system and

kidneys. Lemon is very alkaline forming to the body, so enjoy as often as you want, as strong as you want.

• Enjoy organic herbal teas, to assist with your water intake.

2. Eat an abundance of fruit and vegetables

The alkaline diet is all about eating alkaline forming foods. It doesn’t take a rocket scientist to realise that majority of the foods on the alkaline forming food list are fruits and vegetables. The simple rule is to incorportate 60%-80% of alkaline forming foods in your diet.

Refer to the acid and alkaline forming food lists for further clarification.

3. Take it slowly

A slow transition to this lifestyle is the key. Do not be too hard on yourself if you make a mistake, or have a meal with an acid forming ingredients that would place you outside your 60%-80% intake. Obviously, this diet will need to be adhered to as quickly as possible to see results, although go easy on yourself. Stress has a huge impact on your over all health as well, so it is key to make sure you keep your stress levels at bay.

This diet is not restrictive at all, so if you find you are hungry - EAT MORE! Learn new recipes, and play with your food. Taste the new flavours, and enjoy every minute of the experience. This will ensure you are able to adjust to this lifestyle for the long term.

KIDNEY DIET ESSENTIALS:5 EASY STEPS TO LIVING ALKALINE



4. Choose wisely

Small, health-conscious choices can be made to make this lifestyle work well for you for the long term. Firstly, know what you are eating, and what all the ingredients are, Here are a few easy steps to help transition you from your current lifestyle. Choose:

• white meat or seafood over red meat.• wild rice over rolls and fries• almond milk over cow’s milk• 30 minute walk over 30 minutes watching TV• coconut oil over vegetable oils (canola, soy etc)

5. Choose activities to destress and move your body

This lifestyle isn’t all about what you eat. It is a new way to appriciate your body and how it is meant to feel. A nutricious diet and exercise come hand in hand. Your body is meant to move, so you need to give it the fuel it needs to heal and do what it needs to do. Walking, meditation, yoga and pilates are all amazing ways to get your mind, body and soul moving to help you heal and live with optimal health.

KIDNEY DIET ESSENTIALS:5 EASY STEPS TO LIVING ALKALINE



To get the benefits of eating alkaline-forming foods you should follow this simple rule: Eat two alkaline-forming foods for every one acid-promoting food.

Here’s a sample 2-to-1 meal plan:

KIDNEY DIET ESSENTIALS:2 DAYS OF AN ALKALINE DIET

Day 1 Day 2

Breakfast

Eggs (acid-forming) scrambled with spinach (alkaline) served with half a grapefruit (alkaline).

Hot apple cinnamon (alkaline) and Quinoa (alkaline)

Lunch

Salad greens (alkaline) served with slices of roasted turkey meat (acid-forming) dressed with a chunky, homemade avocado-lemon dressing (alkaline).

Grilled chicken breast (acid-forming) with raw spinach, broccoli (alkaline) and baked sweet potato (alkaline).

Dinner

Salmon patty (low acid-forming) on half agluten-free bun (acid-promoting) served with stir-fried veggies (alkaline).

Grilled white fish (acid-forming) served with a green salad (alkaline) and baked pumkin (alkaline)

Snack Strawberries, apples Cucumbers and Dill Dip

THE BEAT KIDNEY DISEASE TOOLKIT

•Trackyourkidneyhealthprogress•Interpretyourkidneytestresultsbetterthanyourdoctor•Knowhowmuchpotassiumyourmealhasataglance•Kidneydiseasemealplanner-planforyourhealth

KIDNEY FUNCTION TESTS: DIALYSIS RESPONSE MEASUREMENTS

KIDNEY FUNCTION TESTS: DIALYSIS RESPONSE MEASUREMENTSDialysiscanbeaverystressfulanddauntingprocessthatcandrasaticallychangethelifestyleofpatients.Soitisessentialtoknowthatifyouaregoingtoundertakeanintrusivetreatmentthatitisworkingeffectively.Usingthetwocalculationsbelow,nephrologistsareabletomonitordialysiseffectivenessbyassessingthelevelsatwhichureaisremovedviadialysistreatment.

Name of Test

What itIndicates

ReferenceRange

Diagnosis TestResults

TestResults

TestResults

Urea ReductionRatio(URR)

This measures the reduction of urea as a result of the dialysis process. The URR is calculated as a percentage of the remaining urea compared to the urea level before a dialysis session.

65% or higher

Between treatments the results of the URR test canvary considerably, therefore a solitary test result below 65 percent should not be of great concern; it is the patient’s average URR that is important to be above 65%.

There is no fixed percentage to measure satisfactory dialysis treatment, however it has been foundthat patients generally live longer and have fewerhospitalizations if the URR is at least 60 percent.

Date:

Result:

Date:

Result:

Date:

Result:

Kt/V This is a measurementof how effectively urea is removed via dialysis. It compares the amount of fluid that goes through the dialysis machine to the amount of fluid in the patients body.Kt/V is a similar calculation to URR but is a more reliable measure as it also takes into consideration urea that is formed by an individual duringdialysis and urea that is removed along with excess bodily fluid.

1.2 or above for haemodialysispatients

1.8 or above for peritoneal dialysis patients is optimal

There is no fixed value to measure satisfactory dialysis treatment, however it has been found that patients generally live longer and have fewer hospitalizations if the Kt/V is at least 1.2 percent forhaemodialysis patients and 1.8 or above for peritoneal dialysis patients.

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INTERPRETING KIDNEY TEST RESULTS: BONE DISEASE

INTERPRETING KIDNEY TEST RESULTS: BONE DISEASE

Kidneyfailurecanoftenleadtoparathyroidproblemsaskidneydamageresultsinbuildupofphosphorus.Phosphorusandcalciumworktogetherinregardtoparathyroidhealth,sothisthrowsoutthebalance.Theparathyroidexcretesparathyroidhormone(PTH)tohelpcontrolbloodcalciumlevels.Excessphosphoruscausesadecreaseincalcium,whichinturnstimulatesareleaseofPTH.

Name of Test

What itIndicates

ReferenceRange


TestResults

TestResults

ParathyroidHormone(PTH)

High levels are often seen in kidney damage due to high phosphorus

Intact PTH10–65 pg/mL

High PTHcan cause thinning of bones in somekidneypatients

Date:

Result:

Date:

Result:

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Calcium Calicum levelsare often low inrenal failure

8.5 -10.2 mg/dL Australian ref:2.12 mmol/L to 2.55 mol/L

PTH regulates calcium via kidneys. Highphospateleads to lowcalcium

Date:

Result:

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Vitamin Dblood levels

The kidneys are required to produce VitaminD so levels are often low in kidney disease.

30-74 ng/ml

Australian ref:

Low Vitamin D will require

Date:

Result:

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Result:

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Phosphate Phosphorus levels are often high in renal failure

Australian serum:0.70-1.50 mmol/Lurine test:10-40 mmol/24hours

High phosphate causes increasedsecretion of PTH

Date:

Result:

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Issues with Supplementation

Calciuminteractswithawidevarietyofdrugsandnaturaltherapiessospeaktoyourdoctorregardingpotentialissues.Youmayneedtoseparateoravoidcertainsupplements.

Natural Solutions

Decreasingphosphorusinthedietcanhelptorestorethecalicumphosphorusbalance.Phosphorusrichfoodsinclude:meat,eggs,dairy,legumes,chocolate,peanuts,softdrinkandbeer.

Vitamin Disrequiredfortheabsorptionofcalcium.Levelsshouldberoutinelycheckedandsupplementationisnecessaryiflowaslevelscannotbeincreasedsufficientlythroughthediet.

DAILY MEAL TRACKER

DAILY MEAL TRACKERCompareyourdailyintaketorecommendeddailynutrientintake.

MEAL PROTEIN (G)

POTASSIUM (MG)

PHOSPHORUS (MG)

SODIUM (MG)

FLUIDS

BREAKFAST

Meal description

SNACK

Snack description

LUNCH

Meal description

SNACK

Snack description

DINNER

Meal description

Other:

INTERPRETING KIDNEY TEST RESULTS: ELECTROLYTES

INTERPRETING KIDNEY TEST RESULTS: ELECTROLYTESThefollowingnutrientsareimportantelectrolytesthatareessentialtomaintainattherightlevels.Inkidneydiseasethelevelsofthesenutrientsmayshowtobeoutofrangeduetothealteredfilteringcapacityofthekidney.Thisisimportanttocontroleitherbydietorsupplementationasstatedbelow.Thesenutrientsneedtobeatoptimallevelsfornervoussystemandcardiovascularhealthandshouldbemonitoredregularly.

Name of Test

What itIndicates

ReferenceRange


TestResults

TestResults

Calcium Low calciumlevels are often a result of high blood phosphorus

8.5-10.2 mg/dL2.12 mmol/Lto 2.55 mmol/LAustralian ref:2.10-2.55 mmol/L

Low calciumlevels areoften seen inpatients with kidney disease &high phosphorus

Date:

Result:

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Result:

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Sodium When kidneys are not workingeffectively they are not able to filter sodium and levels build up

135-145 mEq/vL

Australian ref: 135 -145 mmol/L

High sodiumstresses the kidneys, causingfluid retentionand highblood pressure

Date:

Result:

Date:

Result:

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Result:

Phosphorus (phosphate)

The kidneys are required to filter excess phosphorus from the blood so levels are often high in kidney disease

2.4 - 4.1mg/dL

Australian ref:

Low Vitamin D will require supplements.Vitamin D isessential forabsorption ofcalcium.

Date:

Result:

Date:

Result:

Date:

Result:

Phosphate Phosphorus levels are often high in renal failure

Australian serum:0.70-1.50 mmol/Lurine test:10-40 mmol/24hours

High phosphate causes increasedsecretion ofPTH

Date:

Result:

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Patientswithlowcalciumlevelsmaybeprescribedsupplementation.Howevercalciumsupplementationcaninterferewithabsorptionofothermineralsandsomepharamaceuticaldrugs.Alwayscheckwithyourhealthpractitionertoseeifdosagesneedtobetakenatdifferenttimesofday.

Natural Solutions

Foodshighinsodium,potassiumandphosphorusshouldbeavoidedandincludethefollowing:

Sodium: Processedmeats,take-away,frozenandsnackfoods,olives,sportsdrinks.

Potassium: Bananas,tomatoes,nuts&seedsbeans,chocolate,pumpkin.

Phosphorus: Dairyproducts,meat,eggs,wheat,nuts,beer,lentils,cola

INTERPRETING KIDNEY TEST RESULTS: GENERAL HEALTH

INTERPRETING KIDNEY TEST RESULTS: GENERAL HEALTHIfyouarebeingtreatedforkidneydamageitisessentialtounderstandwhatishappeningintherestofyourbodytoensurethatyouaretakingcareofyourentirehealth.Thefollowingtabletakesalookatsomeotherbloodmeasurementsthatneedtobeassessedwhenlookingatoverallhealthanddiseaseprevention.

Name of Test

What itIndicates

ReferenceRange


TestResults

TestResults

TotalCholesterol

Total measure of all forms of cholesterol and lipid components

Total cholesterol:less than 200 mg/dL is optimal.

Australian reference range:3.5-5.5mmol/L

Excess cholesterol gets deposited in artery walls leading to narrowing of arteries, which leads to an increased risk of heart attacks & stroke.

Date:

Result:

Date:

Result:

Date:

Result:

LDL cholesterol

Low density lipoprotein (bad cholesterol)

LDL: Under 100 mg/dL optimal 100-129 mg/dL slightly high

Australian reference: less than 3.5mmol/L

High levels increase risk of heart disease.

Date:

Result:

Date:

Result:

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Result:

HDL cholesterol

High density lipoprotein(good cholesterol)

HDL: above 60 mg/dL less than 40mg/dL in men and 50md/dL in women increases heart disease risk.

Australian reference: greater than 1.2mmol/L

Helps reduce levels of ‘bad cholesterol’ therefore low levels increase risk of heart disease.

Date:

Result:

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Result:

Triglycerides This is the medical term for blood fats.High levels indicateincreased risk of coronary artery disease.

Normal levels 150 mg/dL. Any reading above this is considered too high.

Australian reference range:0.5-2.0 mmol/L

High triglycerides are seen in many conditions including kidney damage, and diabetes which is the no.1 cause of kidney disease.

Date:

Result:

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Result:

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Result:

Fasting blood glucose

This test in used to monitor diabetes and screen diabetes risk by measuring levels of glucose after fasting for at least 8 hours

70-100 mg/dl Diabetes: over 126 mg/dL

Australian ref range:3.6-6.0 mmol/LDiabetes: over 7mmol/L

It is essential to control blood sugar to prevent or control diabetes. Diabetes is the leading cause of kidney disease& causes kidney damage viaseveral mechanisms.

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INTERPRETING KIDNEY TEST RESULTS: IRON STUDIES

INTERPRETING KIDNEY TEST RESULTS: IRON STUDIESPatientswithkidneydiseaseoftenshowtestresultsthatindicateanaemia.Thekidneysarerequiredtoformthehormoneerythropoeitin(EPO),thatstimulatestheformationofredbloodcellsinbonemarrow.Incasesofpoorkidneyfunction,EPObecomesdeficient,whichresultsinanaemia.

Thefollowingtestresultsindicateironstatus.

Name of Test

What itIndicates

ReferenceRange


TestResults

TestResults

Total SerumIron (TSI)

The level of iron in the blood thatis bound to transferrin.

Female:26-170ug/dLMale:76-198ug/dLAustralian reference:5-30umol/L

Low TSIindicates iron deficiency.

Date:

Result:

Date:

Result:

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Result:

Ferritin A protein that stores iron in a non-toxic form. Ferritin levels indicate levels of iron storage.

Female: 14 -150ug/L120 -160ng/mlMale: 17-300ug/l 18-250ng/mLAustralian reference:30-200ng/mL

Low levelsindicatelikely irondeficiency anaemia.

Date:

Result:

Date:

Result:

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Result:

Haemoglobin (Hb)

Iron containingprotein that is attached to red blood cells & carries oxygenaround the body.Gives blood cells their red colour.

Female115-165g/l12-15.2gm/dL Male130-180g/l 13.2-16.2gm/dLAustralian reference:115-160g/L

Low Hb is referred to as anaemia. Can be caused byblood loss, poor nutrition& some drugs.

Date:

Result:

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Result:

Transferrin A plasma protein that carries iron around the body.

2-4g/l204-360mg/dlAustralian ref:2.0-3.6 g/L

Transferrin is high in iron deficiency as the liverincreases theproduction

Date:

Result:

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Ironinthedietorsupplementscancompetewithothermineralsforabsorption.Zinc&calciumsupplementsshouldbeavoidedalongsideironsupplementssoallmineralscanbeabsorbedeffectively.Thisalsomeansironsupplementsshouldnotbetakenalongwithfoodshighinzinc/calcium.

Ironabsorptionisreducedbytanninsfoundintea&someherbs.Separatedosesbyatleast2hours.

Ironsupplementscaninteractwithalistofpharmaceuticaldrugssospeaktoyourdoctoraboutsafety.

Natural Solutions

IronabsorptionisimprovedwithVitaminCsoaddasqueezeoflemonjuicetovegetariansourcesofiron.

Thecorrectlevelsofstomachacidarerequiredforoptimalabsorptionofiron,sotakingdigestiveenzymesbeforeironsupplementsorironrichfoodscanbehelpful.

INTERPRETING KIDNEY TEST RESULTS: KIDNEY URINE TESTS

INTERPRETING KIDNEY TEST RESULTS: KIDNEY URINE TESTSOftenurinetestscanbeusedtogainfurtherinformationonkidneyfunctionastowhatisrevealedfrombloodtests.Urinetestsareasimpleandnon-invasiveprocedurethatcanbeveryhelpfulindiagnosingandfollowingtheprogressofkidneydisease.Oftenspecimensofurinewillbecollectedovera24hrperiodtogetanaccuratereadingofcreatinineandalbumin,whilepHcanbedetectedathomeeachmorningwithuseofpHteststrips.Theseareausefulwayoftrackingtheprogressofanalkalisingdiet.

Name of Test

What itIndicates

ReferenceRange


TestResults

TestResults

Creatinineclearance

Creatinine is removed from the body by kidneys, via urine. This is best assessed over a 24hr period to determine how much creatinine is being removed by the kidneys.

500 to 2000 mg/day24 hour sample- results vary due to age and muscle mass.

Low urinary creatinine can be an indication that the kidneys are noteffectively excreting creatinine, and therefore of potential kidney damage.This must be taken into account with blood creatinine levels and other indicators to form a diagnosis.

Date:

Result:

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Urine albumin

Albumin is a protein that is not usually present inthe urine as the kidneys are able to filter it, but in cases of kidney damageit can build up, causing a condition known as albuminurea.

In a 24 hours urine sample, albumin should not be above150mg.

High albumin levels in the urine are indicative of kidney damage.This test alone is not used to diagnose kidney damage and results are taken into considerationalong with creatinine and other markers.

Date:

Result:

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Urine pH This can be tested each morning using urine pHsticks that give a current reading of urinary pH and can be used to monitorprogress of alkaline diets.

pH 6.75-7.25 Low pH indicates acidity, which both stresses the kidneys and indicates potential kidney damage, as it is a role of the kidneys to balance pH in the body.

Date:

Result:

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Micro-albuminuria

This test is used to detect small amounts of albumin in order to detect early kidney damage.

30-300mg of albumin in 24hr urine collection is called microalbuminuria. In a single collection above 30mg per creatinine gram is positive.

Micro-albuminuria allows for detection of early stages of kidney damage and can be used as a screen in high risk patients.Raised micro-albuminuria levels are indicative of kidney damage.

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Kidney Diet Essentials - Cloud Object Storage | Store & …€¦ · · 2017-10-30KIDNEY DIET...

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