Hi,

Diabetics are likely to have a progressive kidney disease once the GFR starts declining. As his creatinine is already at 30 ml/min, he is likely to have gradual decrease in GFR during next few years.

Diabetics require utmost care to control blood sugar and BP. Despite a good control, they are still likely to have a fall in GFR.

Urine infections are acute factors, which can suddenly decrease the GFRR.

Protein especially animal protein, non-veg, should be restricted as nonveg protein makes a further decline in GFR.

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Hi,

Dietary protein restriction is usually warranted to a limited quantity in a small group of patients. Usually 0.6 -0.8 gm/kg per day is advised to all the patients with Chronic Kidney Disease. A severe protein restriction of less than 0.5 gm/kg/day is usually accompanied by a keto analogue group of drugs. But actually the amount of benefit that this dietary restriction and keto groups is limited and that too over a period of several years of followup. More over the protein restriction can lead to loss of muscle mass and increases the tendency for infections. Hence a moderate restriction can be advised and vegetarian protein is advised rather than animal protein.

You can check his body weight and see that the sugars and BP are under control. Monitor his real functions regularly. See that he loses some body weight which is predominantly fat. Overweight is not good and obese people are likely to have rapid deterioration compared the normal weight people.

Hope this answers your query. Let me know if you need clarifications.

Thank you

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Hi,

No, the dosage is calculated based on the body weight. Usual dosage is 0.6 to 0.8 grams per kilogram of body weight per day. The total dosage per day needs to be calculated accordingly, based on the total body weight.


Vegetarian protein is pulses and cereals etc. He also can take boiled eggs but animal protein like chicken etc can be avoided and can be taken in moderate quantities...

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