Has anyone seen a metabolic doctor? Aside from my J Pouch, I have chronic kidney disease, and I’m borderline Pre Diabetic . My food choices are really shrinking, especially now that I’ve had another bowel blockage. I’m under weight and worried that I’m not able to eat a healthy diet.
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I have never seen a metabolic doctor but I do know a bit about CKD health. First: drink plenty of water but with electrolytes and sugar. Secondly: pottasium potassium potassium. And definitely make sure you have calcium and/or calcium enriched foods.
Sodium too 
Potassium is really bad for kidney disease, and sugar is bad for my pre diabetes. I mentioned that I have both conditions, in addition to a J Pouch. This why my food choices are so limited.
@Alaine posted:Potassium is really bad for kidney disease, and sugar is bad for my pre diabetes. I mentioned that I have both conditions, in addition to a J Pouch. This why my food choices are so limited.
Oops, I apologize! My dad has both and that seems to help him but I see everybody is different. Definitely get your fluids and electrolytes.
@Alaine I’m not qualified to make dietary suggestions appropriate for you, and please don’t take them from anyone else here. Different stages (and kinds) of kidney disease have enormously different fluid and electrolyte requirements and limitations, and the suggestions already offered above can be quite destructive in some renal situations. If you currently have a nephrologist they might be able to suggest a properly qualified dietician who can work with your situation, which will likely be grounded in a proper diet for your kidneys and then tailored for the additional needs to help with pre-diabetes. There is some risk that a metabolic doctor might not be as well versed as a nephrologist in your key needs. Good luck!
I have mild chronic kidney disease and type 2 diabetes.
How you approach your diet largely depends on your stage of kidney disease. In my case the focus is control of the diabetes, as it is the inflammation associated with chronic high blood sugar that damages the kidneys. Since you are only prediabetic I would recommend, of course, limiting sweets. But you do not have to to eliminate them completely. More importantly, you need to reduce all carbs. You can check your blood glucose with a home meter to see if you are staying in range. I know it seems simplistic, but it is all about portion control. Since you are underweight, you need to increase calories without increasing carbs much. You can do this by increasing your protein and fat sources.
If you are in a more advanced kidney disease stage, then you need to limit your protein, but fat is OK.
Personally, I think your bigger problem is recurrent obstructions. I would definitely want to explore options to get that resolved. Obviously, you should be able to consume practically anything if you are willing to have it juiced or pureed.
If you really want professional dietary advice I recommend you get a referral to a registered dietician through your primary doctor or nephrologist (if you have one).
Jan
I have pre-diabetes and am also underweight. I do not have kidney disease. I did consult with a dietitian/nutritionist who helped me to choose better options, cutting down on carbs, sugar and adding good fats and protein. Also, making sure you have snacks in between meals. The other thing she emphasized was staying away from sugar alcohols because they cause diarrhea. I have not gained weight but I’m okay with that. My weight is stable. As Jan said, with kidney disease you would need to limit protein. The dietitian can work with you to tailor a diet that works for you. I had one who specializes in diabetes prevention. I will say, however, that insurance may not cover your visit, even with a referral from your physician. I would check this out. I went to the first visit and had a follow up phone call with my dietitian and have been working on lifestyle changes on my own, trying to stay away from sugar and carbs! I understand having to limit foods, though not as much as you have to. Good luck!
