Basic principles of a diet with increased blood creatinine, sample menu

2024 Author: Isabella Gilson | [email protected]. Last modified: 2023-12-17 03:14

Most often, patients come to take a biochemical blood test in full confidence that they have no serious he alth problems. And even after the doctor announces the news about a significantly increased creatinine in the blood, rarely does anyone begin to seriously sound the alarm. Meanwhile, this is one of the most serious indicators of a biochemical blood test, which signals serious problems with the kidneys. In some cases, this is the main symptom of the development of chronic renal failure. The patient will have to change his lifestyle once and for all in order not to become disabled. A diet with an increased content of creatinine in the blood is one of the main conditions for maintaining working capacity and normal well-being.

What is creatinine and urea

Creatinine is a substance that results from the breakdown of creatine phosphate. It is possible to determine the level of this substance in the blood using a biochemical blood test. For a more completethe clinical picture often also requires a urinalysis. Creatinine is the main indicator that reports on the condition of the kidneys.

Urea is released during the breakdown of nitrogenous compounds in the body. An increase in urea often goes "hand in hand" with an off-scale indicator of creatinine. This is the second most important indicator, the increase of which indicates a serious problem with the organs of the urinary system.

What do these indicators in the blood test say

An increase in creatinine and urea most often indicates either severe protein intoxication or the development of chronic renal failure. Sometimes such a clinical picture develops with acute pyelonephritis or glomerulonephritis.

Elevated creatinine may also indicate the following diseases and conditions:

• radiation sickness;
• hyperthyroidism;
• myocardial infarction;
• ammonia poisoning;
• physical overwork at the time of blood donation.

You can not delay hospitalization if the level of creatinine has risen above one hundred units. Lack of adequate treatment can cost a patient's life.

What is Chronic Kidney Failure

This is a condition in which the kidneys lose their functionality. As a result, the body finds itself in conditions of severe intoxication. This condition should not be underestimated: if no measures are taken for treatment, after a few days the patient will die.

In parallel with the increase in creatinine and urea, the following occurs. The patient feels jumps in blood pressure, severe muscle weakness, lack of normal urination, dizziness. A person cannot work and lead a normal life. He should immediately go to the uronephrology department for an accurate diagnosis.

Therapy methods for chronic renal failure

Today, modern medicine offers only two ways to solve the problem: kidney transplantation or being on hemodialysis (the process of artificial blood purification).

Both of these methods also involve the patient being on a diet. With increased creatinine, this is a necessary condition. Follow all the rules of medical nutrition in order to remain sufficiently efficient and not suffer from constant weakness, pressure surges and dizziness.

So, if creatinine is elevated, which diet will help normalize the condition? It is worth noting that the proper nutrition scheme for this disease has been developed for a long time.

The basic principles of the diet for kidney failure and elevated creatinine are spelled out in the “table number 7” according to Pevzner. Any nephrologist will inform his patient about the need to strictly adhere to the rules of this diet throughout the rest of his life. Even if a kidney is transplanted and the condition of the sick person stabilizes, you will still have to stop eating certain foods and drinks once and for all.

Basic principles of the therapeutic diet

Following a diet with elevated blood creatinine should be based on several fundamental principles:

1. The main condition is the restriction of protein of animal and vegetable origin. The daily diet should contain no more than 60 grams of the nutrient. The basis of nutrition should be carbohydrates. Proteins are highly toxic to the kidneys and put unnecessary stress on the urinary system.
2. If the patient has previously been involved in weightlifting and took high-protein supplements, then you will have to give up your hobby. Reception of protein shakes on a diet with elevated creatinine is prohibited.
3. Adequate drinking regimen is an important condition for good he alth with elevated creatinine. The amount of liquid (pure water) per day should ideally be 30 ml per 1 kg of body weight. At the same time, the liquid from first courses, borscht, soups, milk, kefir, coffee and tea is not taken into account. If it is difficult to drink such an amount, then at least one and a half liters of pure water should be consumed.
4. If the increase in creatinine is accompanied by jumps in blood pressure, dizziness, s alt should be almost completely abandoned. If there are no such problems, then you should simply avoid s alty and spicy foods and foods. Of course, it is forbidden to eat chips, s alty crackers and fish and other similar products.
5. A common mistake is to completely cut the protein in the diet. This is a real blow to the body. You should buy a kitchen scale and weigh each piece of meat or fish. Now you have to constantly count the numbernutrients in the diet. This rule will help you feel great and return to your former performance.

Sample menu for the week

The example of the menu below is neutral, you can rearrange the dishes and change the meal time if you wish. This is just a kind of diet pattern for elevated blood creatinine and urea in women and men.

1. Monday: vegetable stew, one egg white, a pack of low-fat cottage cheese, lean borscht without meat, a package of diet whole-grain or rye flour crispbreads, whole-wheat flour pancakes without added fat, a couple of oranges or other citrus fruits, oatmeal with dried fruits.
2. Tuesday: Buckwheat porridge with skimmed milk, two apples, vegetable salad dressed with vegetable oil, vegetable soup, cottage cheese casserole with whole wheat flour.
3. Wednesday: oatmeal with dried fruits, a pack of fat-free cottage cheese, pilaf with chicken fillet, a glass of kefir, an apple with cinnamon baked in the oven, a seafood salad with vegetable oil.
4. Thursday: Diet omelet with tomato and greens, lean borscht, vegetable stew, celery smoothie, a glass of kefir, grilled mackerel.
5. Friday: buckwheat porridge with skimmed milk, a package of dietary whole grain or rye breads, salad dressed with vegetable oil, vegetable soup, rice porridge with dried fruits; a piece of grilled fish fillet.
6. Saturday: a handful of your favorite nuts (no more than 50grams), vegetable soup, cottage cheese casserole with whole grain flour, one boiled chicken egg, vegetable stew, a glass of kefir.
7. Sunday: diet omelette with cauliflower and broccoli, lean borscht, cucumber salad with vegetable oil, fruit smoothie, oven-baked apple with cinnamon, a glass of fermented baked milk.

Diet with increased blood creatinine in men and women

There are no serious differences due to gender in food. Men usually have more muscle mass, so it is acceptable for them to increase the level of protein in the diet up to 70 grams. This is the maximum amount for athletes with a total body weight of more than one hundred kilograms. of course, due to the disease, over time, there will be a decrease in muscle mass.

Women with low body weight - about 45-55 kg - should limit their protein intake to a maximum of 50 grams per day. If the condition is acute, then a reduction to 30-35 grams may be necessary.

It doesn't matter which protein is considered - animal or plant origin. Both types are toxic in kidney damage and stimulate the load, which in the end will inevitably lead to an increase in creatinine and urea levels.

List of approved products

Foods that are allowed to be eaten on a diet for kidney failure and high creatinine:

• low potassium fruits;
• vegetables;
• lean meats (no moreone hundred grams per day);
• chicken egg protein (no more than one per day);
• low fat dairy products;
• berries;
• low-fat varieties of fish - no more than one hundred grams per day;
• nuts - no more than fifty grams per day and no more than once a week;
• porridge from buckwheat, oats, rice;
• vegetarian cereal and vegetable soups, including cabbage soup, borscht and beetroot.

List of Prohibited Foods

Foods that are forbidden to eat on a diet with kidney failure and high creatinine:

• fatty meat;
• dietary meat in the amount of more than one hundred grams per day;
• fried and fatty foods;
• fast food;
• any canned food;
• spicy spices, monosodium glutamate, horseradish.

It should be noted that protein and creatine are found in different types of meat in different amounts. Based on this information, you should build a diet on a diet with increased creatinine:

• highest creatine content in venison, elk and boar meat;
• in second place is the meat of a hare, pigeons and wild ducks.
• in third place dietary meats are turkey, chicken, rabbit meat;
• the lowest content in fish with low fat content - hake, pollock, mackerel. Herring and salmon fish have fairly high levels of creatine.

What drinks are banned?

Diet with increased creatinine and urea implies a restriction not onlyfood, but also drinks. If you do not adhere to these rules, a deterioration in well-being is inevitable. Here's what's off on the high creatinine diet:

• any alcoholic beverages should be excluded from the diet once and for all;
• black coffee should be replaced with chicory (no more than one cup a day);
• strong black tea;
• high-fat milk drinks and smoothies;
• sweet carbonated drinks;
• mineral sparkling water.

List of allowed drinks

It includes:

• self-made fruit and dried fruit compotes;
• fruit drinks with added sugar from berries, fruits;
• vegetable broths;
• vegetable and fruit smoothies;
• sour-milk drinks with low fat content.

A diet with elevated kidney creatinine involves constantly monitoring the amount of protein and creatine in the diet. If the required amount of protein from meat has already been consumed today, you should refuse kefir and milk, as they also contain protein.

The patient must independently master the principles of the diet. Increased creatinine, chronic renal failure, urea goes off scale, blood pressure jumps - this is just a short list of he alth problems that await those who violate the rules of clinical nutrition. Even while on hemodialysis, you should follow simple rules for building a diet.

Features of the use of spices

Patients with impaired kidney function often want to please themselves with delicious meals. Ordinarypeople are accustomed to flavor enhancers and lots of spices in dishes. Therefore, the simple taste of food seems insipid and uninteresting to them.

You can diversify the taste of ordinary lean food with greens, curry, coriander. You can safely add these spices in a pinch to ready-made soups, vegetable stews, meat goulash.

As for limiting s alt, you should not remove it completely. Only if the condition is severe, and the attending physician has recommended that it be completely abandoned for a while, should the advice be followed. In a normal state and the absence of jumps in blood pressure, food can be moderately s alted. Of course, as already mentioned, it is forbidden to eat chips, s alty crackers and fish and other similar products.