Reevaluating Chronic Kidney Disease Patients' Weight Increases Between Dialysis Treatments

A viewer emailed asking, "How much weight should you gain between treatments during the week and on weekends and how does it impact your treatment?"

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This is a very good question because while most with Chronic Kidney Disease know that they should not put on too much weight between their Dialysis treatments, many Chronic Kidney Disease patients do not know how much weight is too much. Those that do know the maximum amount of weight (in pounds) which they are not recommended to exceed between treatments, often do not know what that actually looks like in real terms, right?  

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Individual restrictions for weight gain between Chronic Kidney Disease patients' Dialysis Treatments are determined by their Nephrologists and vary based on body size as well as how often a patient has their Dialysis Treatment (daily or 3 times a week), and if s/he still is able to urinate.

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However, the average Hemodialysis patient should keep their fluid weight gain at or below 1 kilogram (2.2 pounds) each day according to, Davita, a Large Dialysis Organization. That means the typical Chronic Kidney Disease patient is allowed 2 kilograms (4.4 pounds) of fluid weight gain when there are 2 days between treatments and 3 Kilograms (6.6 pounds) of fluid weight gain when there are 3 days between treatments, on average. As you already know, you should check with your Healthcare Team to make sure these general figures are best for your specific needs. 

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Still, let's take this discussion a step further. Below is a guideline that can be used by you to determine how much fluid contributes to your weight gain:
2 cups liquid = 16 ounces = 480 ml = 1 pound or approximately 1/2 kilogram fluid weight
4 cups liquid = 32 ounces = 960 ml = 2 pounds or approximately 1 kilogram fluid weight

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Although, the parameters for dry weight gain are not as well defined, your body will give you little signs when the amount is getting to be too much. For instance, treatments may be a lot harder and your Blood Pressure will likely be unstable. Other signs that you may need to limit your weight gain include frequently being out of breath and  cramping at every treatment. 
Some tips that patients say help them limit weight gain include eating frozen grapes, enjoying a freeze pop instead of just ice-chips, limiting soups in winter, and avoiding all sodium especially during warm days. Also to better tailor your treatment, note when you have an easy time at Dialysis, and try to keep your weight and fluid intake at that level for next time after talking to your Healthcare Team to make sure it is best for you, long term.

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For more tailored tips to improve your Dialysis health outcomes, request your copy of Fight Kidney Disease and Diabetes by clicking on the following link ( or Also, visit daily for the most Breaking News & Information on how Chronic Kidney Disease and Diabetic patients can better manage their lives.  


"How Much Fluid Weight Does a Dialysis Patient Gain between Treatments?" Http:// DaVita HealthCare Partners Inc.

Partner With Your Dietitian To Create An, and Individualized Diet That Works For Yo. "Fluid Facts and Guidelines for the Person on Dialysis." Flyer 3 (n.d.): n. pag. Http:// DCI: Empowering Patients.