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Do I really need to call my patient with a K of 5.2mmol/L?
It’s fat stack Friday. Unfortunately in healthcare, that means I am not talking about a fat stack of pancakes. Fat stack Friday for dietitians means you have a huge pile of blood work referrals to get...
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What you need to know about Vitamin A and CKD
For a long time I have known that Vitamin A and kidney disease don’t mix. Standard renal vitamins (replavite and renavite) don’t contain any Vitamin A. But why is Vitamin A so bad? Today, I’m combing...
View ArticleDiet Recommendations for Adults Living with Kidney Disease after Bariatric...
CKD is more prevalent than diabetes among adults living with obesity. Bariatric surgery is the most effective treatment for obesity. Furthermore, for adults with CKD whose BMI prevents them from...
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Do patients need to avoid potassium sorbate if we are worried about...
Based on research I did in my PhD potassium sorbate is the most common potassium based additive. In fact, it accounted for almost 50% of all potassium additives in the USDA’s Branded Foods Product...
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Can Vitamin K supplementation reduce vascular calcification risk in adults...
A colleague of mine brought this question to my attention. She had a patient who was asking if they should take Vitamin K. I admit its not a supplement I freqently think of, so I had to do some...
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Are “starches” phosphorus additives?
It is not uncommon to see “modified” or “resistant” starch listed on food labels, but do those starches contain phosphorus? The easy answer – sometimes yes and sometimes no. What are resistant...
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Do processed plant sources of phosphorus still have low bioavailability?
Is the bioavailability of micronutrients in plants foods equal? Is the phosphorus bioavailability lower in all plant foods? Or does the level of processing matter? Is the phosphorus bioavailability in...
View ArticleComparing phosphorus bioavailability in plant, animal and additives
When I was doing the research for my previous post on phosphorus bioavailability in plant foods, I came across this article and thought it would make a good one for a Journal club review. St-Jules,...
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Can my patient on blood thinners take Vitamin K?
In one of my previous posts, I talked about Vitamin K and calcification. It got me wondering, what about my patient’s on blood thinners? I still remembering doing the Vitamin K/Warfarin teach for my...
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Why is metformin stopped when eGFR is low?
This isn’t directly related to nutrition, but this question has come my way, so I am happy to talk about it. This question comes up for dietitians working in diabetes and renal care because when...
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What diet recall methods are used in nutrition research?
I will be giving a talk for the Canadian Nutrition Society about tips and tricks for interpreting peer-reviewed literature for clinicians. So hang on to your seats readers! This is the start of a my...
View ArticleWhy are there errors in data from diet assessments?
Continuing in my trend of reviewing diet assessment methods, today I am reviewing an article written by Dr. Sharon Kirkpatrick. Dr. Kirkpatrick is a World-Class scholar and a Canadian dietitian from...
View ArticleIs 24 hour urine potassium a valid measure of potassium intake?
Because it is hard to understand how much someone is eating based on self-reports, there is interest in the research community to identify and use biomarkers. Biomarkers is a fancy way to say that we...
View ArticleCalcium recommendations in CKD
Calcium is a bit of a controversial topic in CKD – is it good for bone health or bad for calcification? As I have discussed before, calcification is problematic for those living with CKD and there is...
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Can diet fix acidosis in CKD?
My first position in renal nutrition was in hemodialysis and I started that job in 2010. My second position in renal was in a pre-dialysis kidney care clinic, which I started in 2015. In neither of...
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Backgrounder on Metabolic Acidosis in CKD
I want to develop a metabolic acidosis nutrition assessment cheat sheet, similar to my one for hyperkalemia, so I am digging down in the rabbit hole of metabolic acidosis. Metabolic acidosis in CKD is...
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What should I tell my patients to eat to fix metabolic acidosis?
If you are reading this series, that I have hopefully already convinced you that: Correcting metabolic acidosis is good for our patients That diet has a role to play. So in today’s post, my goal is to...
View ArticleHow to help your patient choose the right hamburger when they have kidney...
A while ago I was consulted to help someone lower their sodium intake. After the consult, one of the nurses asked me how it went, and I said: “It went great. I told the patient to eat more...
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What does hyperkalemia, low hemoglobin and artificial intelligence have in...
They were all discussed in today’s journal article! There is growing recognition that the causes of hyperkalemia are multi-factorial. This has increased the encouragement for clinicians to consider...
View ArticleWhat can AI tell us about hyperkalemia outcomes?
On the same track as my previous post about artificial intelligence, I am continuing in the trend by reviewing an article that looked that predictors of something bad happening to someone after having...
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