KIDNEY NEWS NOW
We post the most recent news about Kidney Disease, Dialysis and Treatment.
- The protective effects of naringenin, a citrus flavonoid, non-complexed or complexed with hydroxypropyl-β-cyclodextrin against multiorgan damage caused by neonatal endotoxemia.
PMID: Int J Biol Macromol. 2024 Apr ;264(Pt 1):130500. Epub 2024 Feb 28. PMID: 38428770 Abstract Title: The protective effects of naringenin, a citrus flavonoid, non-complexed or complexed with hydroxypropyl-β-cyclodextrin against multiorgan damage caused by neonatal endotoxemia. Abstract: BACKGROUND: Endotoxemia is a severe and dangerous clinical syndrome that results in elevated morbidity, especially in intensive care units. Neonates are particularly susceptible to endotoxemia due to their immature immune systems. There are few effective treatments for… ... read more - Effects of Psidium guajava L. leaves extract on blood pressure control and IL-10 production.PMID: Biomed Pharmacother. 2022 Nov ;155:113796. Epub 2022 Oct 6. PMID: 36271572 Abstract Title: Effects of Psidium guajava L. leaves extract on blood pressure control and IL-10 production in salt-dependent hypertensive rats. Abstract: Psidium guajava (guava) leaves extract displays anti-hypertensive properties by mechanisms not yet fully understood. Here, we investigated whether sympathetic drive and immune signaling mechanisms are involved with the antihypertensive effect of the guava extract in a model of salt-dependent hypertension. Raw guava… ... read more
- The effects of pomegranate consumption on blood pressure in adults.PMID: Phytother Res. 2024 Feb 27. Epub 2024 Feb 27. PMID: 38410857 Abstract Title: The effects of pomegranate consumption on blood pressure in adults: A systematic review and meta-analysis. Abstract: Considering the main component of cardiovascular disease and due to the high prevalence of hypertension, controlling blood pressure is required in individuals with various health conditions. Randomized clinical trials (RCTs) which studied the effects of pomegranate consumption on blood pressure have shown inconsistent findings. As… ... read more
- Garlic prevents the oxidizing and inflammatory effects of sepsis induced by bacterial lipopolysaccharide.PMID: Heliyon. 2023 Nov ;9(11):e21230. Epub 2023 Nov 14. PMID: 38045135 Abstract Title: Garlic prevents the oxidizing and inflammatory effects of sepsis induced by bacterial lipopolysaccharide at the systemic and aortic level in the rat. Role of trpv1. Abstract: Garlic () possesses healing properties for diseases like systemic arterial hypertension, cancer and diabetes, among others. Its main component, allicin, binds to the Transient Receptor Potential Vanilloid Type 1 (TRPV1). In this study, we investigated TRPV1's… ... read more
- Try the new Feel-Good Foods Cookbook
Food is the fuel our bodies need to function, just like a car uses fuel to run. Many whole foods have vitamins and nutrients that can help with our body’s heart health, provide antioxidants and support a healthy gut. The latest Today’s Kidney Diet cookbook, Feel-Good Foods, offers recipes that use kidney-friendly whole foods, and ideas for using them in your meals and snacks. These feel-good recipes use ingredients such as mushrooms, peppers,… ... read more - The Struggle to Juggle: Tips for Managing Multiple Diet Restrictions
Managing multiple diet restrictions can feel like a struggle at times. It is like trying to juggle a few balls, and keep them all in the air, while someone keeps tossing more and more of them at you. The kidney diet itself, with its multiple components, can be a challenge. Many dialysis patients have other health concerns (diabetes, high blood pressure, heart disease, etc.) that require additional dietary modifications for optimum health. This… ... read more - Vitamin D: The “Sunshine” Vitamin
Vitamin D is an essential nutrient; we need to eat foods rich in vitamin D and spend time outdoors to maintain adequate levels in our body. So, the next time you eat a salmon burger outside in the sun, you’ll be getting vitamin D in two ways. Read on to learn why vitamin D is so important for the body and ways to get it. Dietary Sources and Health Benefits Vitamin D2 (ergocalciferol)… ... read more - Comment on Juicy Facts about Stone Fruits by Jackie Termont, RD
Nectarines tend to be a lower acid food. Plums do have a higher acid level, similar to grapefruit, blueberries or lemons. ... read more - Comment on Apple Portion with Clipping Path by Jackie Termont, RDDefinitely understand that, here are a few articles to help. Many things to manage in kidney disease, but a healthy diet can be an important component to slow the progression. Also including a link for fining local dietitians that specialize in earlier stages of kidney disease. https://www.davita.com/education/kidney-disease/basics/how-to-slow-the-progression-of-chronic-kidney-disease https://www.davita.com/diet-nutrition/articles/advice/diet-and-nutrition-goals-for-people-with-stage-3-chronic-kidney-disease https://sites.google.com/view/ckdrd/home ... read more
- Comment on Recipes for Air Fryers, Pressure Cookers and More in Our Latest Cookbook by Jackie Termont, RDIt can definitely be overwhelming. The renal diet is not a one size fits all, so even as dietitians we look at blood work to guide our recommendations. Whole foods and less processed foods are best, lower sodium, not a lot of additives. You can sign up for a free myDaVita account to be able to see and download all of our cookbooks in the library. I will also link to some information on diabetes… ... read more
- Comment on Food Facts Friday: Greek Yogurt by Jackie Termont, RDWhole grain is a good choice, because it has not been striped of nutrients. It provides fiber and other vitamins and minerals. It may have a slightly higher phosphorus content, but your body only absorbs some of that phosphorus. ... read more
- Comment on 8 Food Trends Made Kidney-Friendly: Part 2 by Jackie Termont, RDHere is a link to the Diet and Nutrition section of DaVita.com. It has recipes, articles, videos and more tools for nutrition. https://www.davita.com/diet-nutrition ... read more
- Comment on Food Facts Friday: Greek Yogurt by MaryStage 3. White bread is an inflammatory so is whole grain better? ... read more
- Comment on Apple Portion with Clipping Path by Leonard GutmanI’m a stage 3 ckd patient very interested in keeping it there. ... read more
- Comment on Recipes for Air Fryers, Pressure Cookers and More in Our Latest Cookbook by Nicole CrissHello. We are looking for a cookbook for managing my husband’s high phosphorus. and a good renal diet. We get so confused on what we can have and can’t have due to him also just being diagnose with diabetes to . ... read more
- Comment on 8 Food Trends Made Kidney-Friendly: Part 2 by Janet CosaresI want to have a Kidney diet tips.Can you send me.Thank you ... read more
- Comment on Juicy Facts about Stone Fruits by Anndoes fruit like plums, nectarines have acid in them ... read more
- 8 Food Trends Made Kidney-Friendly: Part 2
Social media is ripe with new recipes and foods that have become trendy. In this post, we continue our list of recent food trends and how to make them more kidney-friendly. From cottage cheese ice cream to pasture-raised meat and eggs, there are many options for trying these trends while sticking to your kidney diet. 1. Cottage Cheese Ice Cream You’ve probably heard of pairing cottage cheese with fruit, but have you… ... read more - Recipes for Air Fryers, Pressure Cookers and More in Our Latest Cookbook
Small kitchen appliances such as air fryers have become popular in the last few years, and it’s no wonder—they can help make cooking easier. There are many creative recipes and cookbooks that use updated pressure cookers, waffle irons and more to make healthy meals. Use our latest Today’s Kidney Diet cookbook, Small Appliance Cooking, to try out this cooking trend and make kidney-friendly meals using your favorite kitchen gadgets. You’ll find 14… ... read more - Food Trends Made Kidney-Friendly: Part 1
If you are on social media, you have likely seen many new recipes or foods “go viral” this year. However, you may wonder if these foods and recipes are safe for your kidney diet. Here are four food trends and ways to make them more kidney-friendly. 1. Charcuterie Boards Charcuterie boards are popular appetizers featuring a serving board topped with cured foods such as deli meat, cheese, pickles, bread and crackers.… ... read more - Food Facts Friday: White Rice
Some people may think white rice is as boring as it looks. But hidden away in the back of your pantry is an important staple for many cultures. In fact, people started eating rice as early as 2500 B.C. It was even added to the mortar used to hold together the Great Wall of China! White rice is often associated with Asian cultures; however, it is also an important part of American diets.… ... read more - Diet and End Stage Chronic Kidney Disease
One in seven adults in the U.S. has chronic kidney disease (CKD).* Kidney disease develops when kidneys lose their ability to remove waste and maintain fluid and chemical balances in the body. The severity of CKD depends on how well the kidneys filter wastes from the blood. It can progress quickly or take many years to develop. Education is the key to prevention The more you know about CKD, the more… ... read more - Try the New “Lunch on the Go” Cookbook
Lunch doesn’t get enough credit. After all, this midday meal can give you the energy boost you need to finish your day strong. Whether you’re taking a road trip, going to work, enjoying lunch before or after dialysis treatment, or even going on a picnic, Today’s Kidney Diet: Lunch on the Go offers quick and simple lunch ideas that are easy to bring with you. In this cookbook you’ll find 14 easy… ... read more - Spreads, Butter and Margarine: Which is Healthiest?
You may enjoy the rich flavor of butter or margarine on bread, pancakes, baked potatoes or grits. However, you may wonder which one is the best kidney-friendly option. Let’s take a closer look at these popular spreads. Butter and Margarine Both butter and margarine are fat. Butter is mostly saturated fat, while margarine is mainly unsaturated fat. The U.S. Dietary Guidelines recommend to restrict saturated fats to less than 10% of… ... read more - Acetazolamide in Acute Decompensated Heart Failure With Volume OverloadDr. Chadwick Clinical question: Does the addition of acetazolamide to standardized loop diuretic therapy achieve more effective decongestion compared to loop diuretics alone in acute decompensated heart failure? Background: Decompensated heart failure is a leading cause of hospitalization in the U.S. Intravenous (IV) loop diuretics remain the cornerstone of treatment for acute heart failure. Although combination diuretic therapy has been suggested to be more effective than loop diuretics alone, there has previously been… ... read more
- CT for Evaluation of Acute Abdominal Pain is Less Accurate Without ContrastDr. Gordon Clinical question: How does the addition of contrast to a CT abdomen and pelvis ordered to evaluate abdominal pain in an emergency department (ED) setting impact diagnostic accuracy? Background: Although contrast-enhanced CT has historically been the imaging of choice to evaluate abdominal pain in the acute setting, concerns about complications from contrast use (e.g., risk of contrast-induced acute kidney injury) and contrast shortages can result in these scans being ordered without… ... read more
- 10 Ways to Help with Gastroparesis
Gastroparesis is a condition where the stomach empties too slowly, and it can affect the nutrition and wellbeing of people with diabetes and kidney disease. It’s hard to predict which foods may cause problems for people with gastroparesis. Always consult your physician regarding your specific diagnosis and for any questions you may have regarding treatment and diet. If you have chronic kidney disease and are struggling with gastroparesis, these tips may be helpful… ... read more - Small Servings Cookbook Now Available
For many people, cooking is something they truly enjoy, whether it’s for their immediately family or large meals for extended family and friends—really and truly creating a feast! However, there are people who may only be cooking for themselves, and maybe their spouse, partner, friend or child. Recipes that make 12 to18 servings may not make sense in those situations. If you’re part of that second group, the latest Today’s Kidney Diet… ... read more - Tips and Resources for Caregivers
Care givers, or care partners, are important for people who are on dialysis or even in the earlier stages of chronic kidney disease (CKD). Care partners can be family members, friends, co-workers or even church family members who work behind the scenes to provide emotional, physical and sometimes even financial support to their loved one with CKD. Caring for Yourself Being a care partner can be stressful or overwhelming. If you… ... read more - Street Medicine on the Floors: A Promising Inpatient ModelPersons experiencing homelessness (PEH) can be some of the most complex patients on hospitalists’ services. Chronic conditions such as hypertension, hypercholesterolemia, and diabetes are inadequately controlled in this population.1,2 Similarly, high rates of cancer, heart disease, chronic obstructive pulmonary disease, and geriatric syndromes, such as functional impairment, frailty, and depression, have been described.3,4,5,6 Lastly, homelessness is associated with high rates of acute-care utilization and hospital readmission and is an independent risk factor for mortality.7,8,9,10… ... read more
- Empathy for the Rural HospitalistIn residency, we had derisive nicknames for the hospitals in the surrounding rural areas that would frequently send us patients. After we were notified of the transfer, we stayed on edge until the patient arrived, unclear of what was going to show up. At best they were sending us a difficult patient who was going to require a great deal of work; occasionally, as we paged through the photocopied progress notes and labs, we… ... read more
- Comment on Kidney Diet Tip: Choosing the Best Milk Substitute by Jackie Termont, RDIt’s best to avoid the phosphorus additives, because your body absorbs the additives 95-100%. There may be natural phosphorus in small amounts in the unsweetened almond milk without additives. It is the additives that we truly need to be cautious with. We hope that helps. ... read more
- Comment on Peritoneal Dialysis: 5 Tips to Increase Potassium by Jackie Termont, RDThe balance is definitely a challenge. This article is just pointing out a particular nutrient for education purposes, but it may be good to speak with your PD dietitian on the issues that you are running into. Based on your labs there may be small adjustments you can do and not feel like you are having to restrict too many things. ... read more
- Comment on Making Homemade Salad Dressing by Jackie Termont, RDThank you for your suggestion. There are salad dressings linked in the blog post. Are you referring to a certain dressing? ... read more
- Comment on Making Homemade Salad Dressing by FayizIt would be nice to include the salad dressing recipe in this article, that would make it very helpful. ... read more
- Comment on Peritoneal Dialysis: 5 Tips to Increase Potassium by HarleyI wish these articles would include how to balance other nutrients. PD patients need to possibly increase potassium, but at the same time probably need to limit phosphorus, calcium, or sodium. It doesn’t do us much good to tell us to eat one thing for potassium, but to avoid the same thing because of one of the other nutrients. It’s very hard to manage. ... read more
- Comment on cantaloupe melon by – Lee WhiteI too am a professional artist, 74 years old. Like you, I am still painting and also have CKD. Kudos to you for continuing your work. Truth is, both of us could be killed in a car accident any day of the week, and that has been true since we were born. My advice to you is to stick to the Davita kidney diet, try to drink 60 oz. of liquid per day (mostly water… ... read more
- Comment on Kidney Diet Tip: Choosing the Best Milk Substitute by CathyI found store brand unsweetened almond milk that does not have phos in the ingredient label. and almond breeze lists 20% phosphrorus and does list phos in the ingredients what do I buy one that seems to have no phos in the ingredients or the almond breeze milk that says 20% phosphorus but does not list phos in the ingredients. ... read more
- Syncope Evaluation: Evidence-Based and EconomicalDr. Daniel Dressler started his evidence-based evaluation of the syncope presentation by polling the audience with a few cases and questions regarding syncope. Before finding out the correct answers, he helped lay the groundwork by defining syncope as a sudden loss of consciousness and postural tone due to cerebral hypoperfusion, which resolves rapidly and spontaneously. He emphasized that this definition is important as it differentiates it from other causes of transient loss of consciousness such… ... read more
- Inpatient Management of Decompensated CirrhosisIn this clinical-pearl-packed session, Dr. Suchita Shah Sata from Duke University Hospital in Durham, N.C., recaps the breadth of knowledge needed by hospitalists to manage this complex patient population. Outlining the objectives of the talk, Dr. Sata describes the pathophysiology of cirrhosis and how this leads to the complications that are seen in the decompensated state, suggests a framework for evaluating the etiologies of decompensated cirrhosis, and applies current evidence to delineate best practices in… ... read more
- Acute Pain ManagementThis case-based session provided hospitalists with expert opinions and evidence-based approaches to navigate challenges when managing acute pain in the inpatient setting. Opioid prescription management can be especially problematic for hospitalists when caring for patients with chronic pain on long-term opiate therapy (LTOT) and those with opioid use disorder (OUD). Managing acute pain of the opiate-naïve patient in the inpatient setting There are multiple options in the hospitalist’s toolbox when managing acute pain in… ... read more
- Updates on Gastroenterology and HepatologyDr. Sears’s fun, fast-paced speaking style peppered with her wellness moments (and El Arroyo quotes) always make for an excellent learning experience. Her quick recap on acute pancreatitis included that early refeeding of patients is good, with a lower length of stay and cost. She referenced the September 2022 Waterfall study from the New England Journal of Medicine, which was also highlighted in the Update in Hospital Medicine talk. The study was stopped due to… ... read more
- Update in Heart Failure CareAccording to the American College of Cardiology, more than 6 million Americans are living with heart failure—the leading cause of hospital admission in patients aged 65 and older. Hundreds of learners filled the ballroom on day one of SHM Converge in March to hear about clinical updates in heart failure (HF) presented by Dr. Dustin Smith, who has a passion for teaching and cardiology. He focused on updates in diuresis for acute decompensated HF… ... read more
- Use of Ketamine in Hospitalized PatientsKetamine, a dissociative agent, is listed on the 21st WHO Model List of Essential Medicines for basic health care systems. It first gained U.S. Food and Drug Administration approval as an anesthetic in 1970 and again in 2019 for treatment-resistant depression in combination with another oral antidepressant. Dr. McEntee, a practicing med-peds hospitalist and palliative care/hospice physician presented a compelling case for the uses of ketamine as part of the Clinical Update series at SHM… ... read more
- Experts Say Racism a Too-common Factor in Care, and Offer FixesSaying that structural racism permeates more clinical situations than hospitalists are typically aware of, a panel of speakers at SHM Converge in March offered a framework that physicians can use to boost awareness of this pitfall and, in as little as five minutes, help them work toward solutions and better care. Dr. Wang Structural racism—how racism accumulates across institutions as the result of individual beliefs and organizations’ practices—can easily be overlooked during the… ... read more
- Using Naltrexone for AUD is Safe in Patients With and Without Liver DiseaseDr. Hoang Clinical question: Is naltrexone hepatically safe for the treatment of alcohol use disorder (AUD) in patients with and without liver disease? Background: Treatment of underlying AUD can prevent and potentially reverse alcohol-associated liver disease. Given naltrexone’s warning of hepatotoxicity, there is an ongoing underutilization of pharmacologic treatments for AUD. Despite small previous studies showing no rise of transaminases with naltrexone use, the data is limited, especially for patients with underlying liver… ... read more
- Moderate Fluid Resuscitation Preferred Over Aggressive Resuscitation in Acute PancreatitisDr. Houston Clinical question: Does early, aggressive, fluid resuscitation improve clinical outcomes in acute pancreatitis when compared to moderate fluid resuscitation? Background: Studies comparing different volumes of intravenous fluid resuscitation in acute pancreatitis have provided conflicting results. Study design: Multicenter, open-label, randomized, controlled trial, including patients with mild-moderate acute pancreatitis based on the Revised Atlanta Classification Setting: 18 centers across four countries (India, Italy, Mexico, and Spain) Synopsis: Of 249 total patients with… ... read more
- Apixaban Has Lower Risk of Bleeding Than Warfarin in ESKDDr. Leiner Clinical question: In patients with end-stage kidney disease (ESKD) and venous thromboembolism (VTE), does apixaban have a lower bleeding risk and VTE recurrence than warfarin? Background: A safe and effective therapy for VTE is needed for patients with ESKD due to their increased risk of both thrombosis and bleeding. High-quality data evaluating direct oral anticoagulants in ESKD is limited, especially in VTE. The authors sought to evaluate the safety and effectiveness… ... read more
- SHM 2023 Awards of Excellence and Junior Investigator AwardThe HOMERuN COVID-19 Collaborative Group, winner of the Excellence in Teamwork award, included more than 150 members across 80 institutions. SHM’s Awards of Excellence Program honors members who’ve made exceptional contributions to hospital medicine in a variety of categories. Please join The Hospitalist and SHM in congratulating the 2023 award winners. Clinical Leadership for Physicians Benji K. Mathews, MD, MBA, SFHM Dr. Mathews Dr. Mathews is the department chair of hospital… ... read more
- Procalcitonin to Predict Severity of Acute Cholangitis and Need for Urgent Biliary DecompressionDr. Ally Clinical question: What impact does procalcitonin have on the management of acute cholangitis? Background: Procalcitonin has been used to predict disease severity that may lead to septic shock, though this remains a debatable topic. Acute cholangitis portended high morbidity and mortality prior to biliary decompression and enhanced critical care. Severe acute cholangitis is defined by one of these characteristics: cardiovascular dysfunction (such as hypotension requiring dopamine or norepinephrine infusion); neurologic dysfunction… ... read more