CKD and Diabetics Put At Risk By Diet-Friendly Foods Which Inadvertently Add To Fluid Intake

We all know that many Chronic Kidney Disease patients cannot rid their bodies of fluid which may build up and cause their ankles and hands to swell and even cause heart failure. Moreover, Diabetic patients may suffer Overhydration. Though not particularly common, when a Diabetic suffers from Overhydration it prevents their kidneys from excreting excess water so the mineral content in the blood is diluted (Hyponatremia). Both of these situations highlight the reason why it is important for Chronic Kidney Disease and Diabetic patients to consult their Primary Physician about how much liquid they should consume.

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The benefits of water are clear (pun intended); by drinking water Chronic Kidney Disease and Diabetic patients can help prevent fatigue and improve their body's physical performance. Water also has no calories, no fat and no cholesterol which are ultimately things both a Chronic Kidney Disease and Diabetic patient needs to avoid.

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Obviously, however, water is not the only fluid most patients intake. This can become confusing for patients especially since they are often recommended to monitor their "fluid" intake by pouring water "equal to the amount of liquid you can drink during the day into a see-through container." Hence, this strategy may be ineffective when patients consume other foods and drinks which are allowed in their diets but also contain fluid such as gravy, Jello, Milk, Ice Cubes, syrup, coffee and tea, creamer, popsicles, and even fruits or vegetables.

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Have you ever been confused about how much fluid YOU should intake? The best way to know the specific amount of water you should consume is by consulting your Primary Physician. Nevertheless, there are a few guidelines all people can follow concerning hydration.  

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Chronic Kidney Disease patients who are on Dialysis should limit their fluids to 1 quart (32 ounces) per day. To make it a bit more straight-forward, this equates to an approximate 2 pound weight gain for every quart that is drunk. Hence, a patient that conducts thrice weekly (three times a week) Dialysis should not gain more than 2 to 4 pounds of fluid between treatments which will help improve their Dialysis.    

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According to the American Diabetes Association, men should drink about 13 cups (3 liters) of liquid a day while women should drink about 9 cups (2.2 liters) unless otherwise specified by their Personal Physician. It should be noted that this amount includes water AND other fluids. Herbal teas and water are always the best choice for Diabetics, and carbonated drinks and caffeinated drinks should be kept at a very minimum. 

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One of the best ways to manage fluid is to drink from smaller cups, and by brushing your teeth often to feel refreshed. However, it is also important to remain aware and mindful of foods that may be hidden sources of fluids. Weigh yourself at the beginning, middle and end of your day (if possible) to ensure that you are not adding too much weight between treatments. 

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If you find that you are over your fluid restrictions, simply adjust your fluid intake and try to do better going forward. For more Daily News & Information about how Chronic Kidney Disease and Diabetic patients can improve their health outcomes and better manage their lives, visit every day!

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"Food That Counts as Fluid on the Kidney Diet." Http:// DaVita HealthCare Partners Inc.

Laino, Charlene. "Drinking Water May Cut Risk of High Blood Sugar."Http:// WebMD.

Elliott, Susan. "How Much Water Should a Type 2 Diabetic Drink?"Http:// Demand Media.