Let's talk about the best and worst
diets for kidney disease!
Higher protein ketogenic diets
may accelerate kidney failure
progression and cause other medical
problems in patients with kidney disease.
According to the new findings from a
review published in "Frontiers in
Nutrition." Is that news to you or
do youtube chiropractors already
brainwash you that the only good diet is
keto? Well, if you have doubts about keto
diets and want to find out if keto is
safe for your kidneys and your overall
health, I will tell you a few things the
other guys don't want to say to you. Then
we will look into scientific facts about
keto and kidney disease relationship. We
recently published a stop kidney disease
video and I think this video will be a
good follow-up in terms of how to diet
correctly when you have diabetes and
kidney disease. Some keto diets by the
way are more vegetarian predominan, but
there is little published research on
their effects on the kidney health, so we
are not really talking about this type
of keto today. We will be actually
talking about keto high in animal
protein and we will touch base on the
effects of plant-based diets.
Hi! I'm Dr. Ahmet Ergin. I'm an
endocrinologist and a diabetes and
hormone specialist practicing in Florida
and helping everyone with diabetes in
the universe, as long as they watch
YouTube. Many studies point out that the
possible long-term risks of high protein
keto diet; including heart disease, cancer,
diabetes, kidney stones, alzheimer's
disease, other diseases, even in
non-diabetics. The other adverse effects
associated with long-term high protein
or high meat intake
are born in calcium regulation problems
and worsening of kidney disease even
kidney stones and liver disorders.
Now true is that? As you all know, keto
diets are low in carbohydrates and high
in fat, with controversy over whether the diets
should be high in protein to begin with.
The average keto diet consists around
1 to 2 gram per kilogram per day of
protein, which is usually a lot of
protein. However, supporters of keto diet
consider this protein intake to be
expected or just average possibly,
because the typical american diet
already consists around 1.2 to 1.5 gram
per kilogram of protein. Well, here's the
deal: By definition, keto diets are very
high in fat and protein and that is
challenging for long-term kidney health.
What else the keto diets are not good
for? Well, it would be especially unsafe
for women who are pregnant or may become
pregnant, with solid data, suggesting that
the low carb diets are actually linked
to a higher risk of neural tube defects
in infants, even if the mother took a
shitload of folic acid. Why does keto
diet put a strain on the kidneys? Well, in
patients with any reduction in kidney
function due to diabetes or high blood
pressure, etc. High protein intake
accelerates the loss of kidney function.
And a keto diet can strain
the already troubled kidneys. A review
published in a reputable journal
confirmed that high animal fat
consumption was associated with
increased risk of albuminuria, which is a
protein leak in the urine and chronic
kidney disease. And because obesity is an
independent risk factor for kidney
disease, many nephrologists that I know
are looking ways to have their patients
lose weight. Many of their patients also
have diabetes, high blood pressure, heart
disease, etc. As a result, keto diet
sometimes is brought up by the patients
or the doctors to lose weight. Yet the
studies show that the ketogenic diets
can lead to further harm in these kidney
disease patients, instead a healthful
diet of vegetables and fruits and legumes,
basically a plant-based diet
appropriately planned will lead to a
healthier long-term weight control, in
addition to helping preserve the kidney
function to the as much extent as
possible. Let's touch base also on the
keto diet and its impact on metabolic
acidosis, which happens in kidney disease.
The ketogenic diet has the potential to
make the metabolic acidosis that is
already present in patients with kidney
disease way worse.
Well, doctors have to treat that
metabolic acidosis worsened by the
keto diets with sodium bicarbonate which
then can have side effects such as
worsening of edema which is swelling and
elevated blood pressure. Now, increasing
the potential acid load with a high
protein keto diet may exacerbate the
situation and require more medication to
treat it. How about keto diets in type 1
diabetes? Is that okay for them? Well,
because keto diets include a lot of
saturated fats, and the meats, and the
poultry, and the eggs, and the cheese, and ...
They have been associated with increased
cardiovascular risk.
These foods often are high in saturated
fat and cholesterol and a lot of
chemical contaminants and
potential other inflammatory compounds.
Well, when the researchers looked at the
adults with type 1 diabetes what they
found was that the studies actually
suggesting both favorable
and unfavorable outcomes for type 1 diabetics.
One small study suggested that the keto
diet could actually improve the blood
glucose control, in patients with type 1
diabetes. But, with a big but, it caused
more frequent and severely low glucose
events. As far as I can tell, the science
indicates that the only well-supported
use for keto diet is to reduce the
seizure frequency in some individuals
with drug resistant epilepsy. I can tell
you that these recent study reports are
not surprising, given the well-known
problems with excess protein and high
acid load in the diet. Well, studies in
1998, showed that the Atkins diet, which
is the predecessor of keto diets,
worsened the kidney stones by increasing
the urinary calcium and lowering
protective citrate in the urine. The
effect of dietary protein on the
worsening of kidney disease progression,
is pretty much an ancient history for
many doctors. What other problems you may
encounter with keto diet? Especially if
you are over 50 and have diabetes. A few
small studies suggest that the people on
the ketogenic diet
lose muscle even when they continue
resistance training. This may be related
to the fact that the protein alone is
less effective for muscle building than
protein and carbohydrates together, after
exercise. That's why
the guys you see at the gym eat carbs to
build muscle, except the skinny ones who
can't. A study in 2018 in the Journal of
Sports showed that the people on keto
did lose more leg muscle which can
affect your balance, especially if you
are also dealing with diabetic
neuropathy. You may not know, but falls
are the top cause of death from injury
in older population. What else? Well,
loading your body with meats, especially
the processed meats, will increase your
risk of kidney stones and gout. What is
gout? Well, it is a painful type of
arthritis, you, for sure, do not want to
have. Eating many animal proteins makes
your urine more acidic. It increases the
calcium and the uric acid levels, which is
a recipe for kidney stones and and the
high uric acid is a recipe for gout.
A few other annoying problems could be
constipation, dehydration, low potassium,
low sodium, high blood pressure, to name a
few. You will also have a bad breath, so
stay away from me. What about plant-based
diets for kidney disease? Are they any
good? I mean, we kind of talked about and
bash the ketogenic diet high in protein,
well, plant-based foods
miss three important things that your
kidneys will be super happy for not
having to deal with. What are they? Number
one the acid load that is created from
protein breakdown. Number two is
phosphorus very high in animal based
foods. Number three: cholesterol. When
kidneys start to fail, they can't deal
with the acid load and the phosphorus
load as easily. As a result, the acid and
the phosphorus start accumulating in the body,
causing further damage to your bones and
the arteries. High cholesterol, also
damages the endothelial lining of your
kidney arteries, and as a result, reduces
your glomerular filtration rate, your GFR.
Plant-based foods, that are not highly
processed, have phytates, such as, like the
fresh vegetables, the fruits, and all that
stuff, and then some healthy grains. The
phytates binds phosphorus. As a result, your body don't
absorb as much phosphorus,
as you would otherwise from highly
processed foods and dairy foods. Many
vegetables also contain something called
plant sterols or sterols which prevent
the absorption of cholesterol and can
actually lower the bad cholesterol, which
is your LDL, by up to 15%
Also, thanks to the polyphenols in the
plant-based diet, you will also enjoy
antioxidant repair, which helps lower the
risk of heart attacks, the strokes, the
cancer, and the alzheimer's disease. After
hearing all of this, I hope you can make
a better choice, and make better changes
to improve your kidney function or at
least prevent the deterioration. Please
write a comment, like, and share. We will
see you in the next video guys!
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