Re: Question about creatinine and dietary protein

[Guest guest]

Certainly not based on just a lab test. It would be dangerous to practice

without looking at the whole patient.

That includes a discussion with other members of the healthcare team to

determine what the root cause of an elevated lab value might be.

Pam Charney, PhD, RD

Author, Consultant

pcharney@...

" If all you ever do is all you've ever done, than all you'll ever get is all you

ever got " - Anonymous

> Do you recommend a protein restriction for patients who have an elevated

> creatinine (1.8-2.0) but no known kidney disease? If so, what do you

> recommend as an acceptable range?

>

> Thank you,

>

> Shelby , MS, RD, LD

>

>

[Guest guest]

Certainly not based on just a lab test. It would be dangerous to practice

without looking at the whole patient.

That includes a discussion with other members of the healthcare team to

determine what the root cause of an elevated lab value might be.

Pam Charney, PhD, RD

Author, Consultant

pcharney@...

" If all you ever do is all you've ever done, than all you'll ever get is all you

ever got " - Anonymous

> Do you recommend a protein restriction for patients who have an elevated

> creatinine (1.8-2.0) but no known kidney disease? If so, what do you

> recommend as an acceptable range?

>

> Thank you,

>

> Shelby , MS, RD, LD

>

>

[Guest guest]

Certainly not based on just a lab test. It would be dangerous to practice

without looking at the whole patient.

That includes a discussion with other members of the healthcare team to

determine what the root cause of an elevated lab value might be.

Pam Charney, PhD, RD

Author, Consultant

pcharney@...

" If all you ever do is all you've ever done, than all you'll ever get is all you

ever got " - Anonymous

> Do you recommend a protein restriction for patients who have an elevated

> creatinine (1.8-2.0) but no known kidney disease? If so, what do you

> recommend as an acceptable range?

>

> Thank you,

>

> Shelby , MS, RD, LD

>

>

[Guest guest]

Cr can be related to body mass - is your pt a weight lifter?

Tina Marie

Certainly not based on just a lab test. It would be dangerous to practice

without looking at the whole patient.

That includes a discussion with other members of the healthcare team to

determine what the root cause of an elevated lab value might be.

Pam Charney, PhD, RD

Author, Consultant

pcharney@...

" If all you ever do is all you've ever done, than all you'll ever get is all you

ever got " - Anonymous

Do you recommend a protein restriction for patients who have an elevated

creatinine (1.8-2.0) but no known kidney disease? If so, what do you

recommend as an acceptable range?

Thank you,

Shelby , MS, RD, LD

[Guest guest]

Cr can be related to body mass - is your pt a weight lifter?

Tina Marie

Certainly not based on just a lab test. It would be dangerous to practice

without looking at the whole patient.

That includes a discussion with other members of the healthcare team to

determine what the root cause of an elevated lab value might be.

Pam Charney, PhD, RD

Author, Consultant

pcharney@...

" If all you ever do is all you've ever done, than all you'll ever get is all you

ever got " - Anonymous

Do you recommend a protein restriction for patients who have an elevated

creatinine (1.8-2.0) but no known kidney disease? If so, what do you

recommend as an acceptable range?

Thank you,

Shelby , MS, RD, LD

[Guest guest]

Cr can be related to body mass - is your pt a weight lifter?

Tina Marie

Certainly not based on just a lab test. It would be dangerous to practice

without looking at the whole patient.

That includes a discussion with other members of the healthcare team to

determine what the root cause of an elevated lab value might be.

Pam Charney, PhD, RD

Author, Consultant

pcharney@...

" If all you ever do is all you've ever done, than all you'll ever get is all you

ever got " - Anonymous

Do you recommend a protein restriction for patients who have an elevated

creatinine (1.8-2.0) but no known kidney disease? If so, what do you

recommend as an acceptable range?

Thank you,

Shelby , MS, RD, LD

[Guest guest]

No, the patient is not a weight lifter but has an " average " body fat

percentage for his age (21%) and BMI of 30. He has a high dietary protein

intake (about 120-130 g per day) and I'm wondering if it could be related

to this and if decreased protein should be encouraged as a cautionary

measure.

Thanks for your replies.

Shelby

> **

>

>

> Cr can be related to body mass - is your pt a weight lifter?

>

> Tina Marie

>

>

>

>

> Certainly not based on just a lab test. It would be dangerous to practice

> without looking at the whole patient.

> That includes a discussion with other members of the healthcare team to

> determine what the root cause of an elevated lab value might be.

>

> Pam Charney, PhD, RD

> Author, Consultant

> pcharney@...

>

> " If all you ever do is all you've ever done, than all you'll ever get is

> all you ever got " - Anonymous

>

>

>

> Do you recommend a protein restriction for patients who have an elevated

> creatinine (1.8-2.0) but no known kidney disease? If so, what do you

> recommend as an acceptable range?

>

> Thank you,

>

> Shelby , MS, RD, LD

>

>

[Guest guest]

No, the patient is not a weight lifter but has an " average " body fat

percentage for his age (21%) and BMI of 30. He has a high dietary protein

intake (about 120-130 g per day) and I'm wondering if it could be related

to this and if decreased protein should be encouraged as a cautionary

measure.

Thanks for your replies.

Shelby

> **

>

>

> Cr can be related to body mass - is your pt a weight lifter?

>

> Tina Marie

>

>

>

>

> Certainly not based on just a lab test. It would be dangerous to practice

> without looking at the whole patient.

> That includes a discussion with other members of the healthcare team to

> determine what the root cause of an elevated lab value might be.

>

> Pam Charney, PhD, RD

> Author, Consultant

> pcharney@...

>

> " If all you ever do is all you've ever done, than all you'll ever get is

> all you ever got " - Anonymous

>

>

>

> Do you recommend a protein restriction for patients who have an elevated

> creatinine (1.8-2.0) but no known kidney disease? If so, what do you

> recommend as an acceptable range?

>

> Thank you,

>

> Shelby , MS, RD, LD

>

>

[Guest guest]

No, the patient is not a weight lifter but has an " average " body fat

percentage for his age (21%) and BMI of 30. He has a high dietary protein

intake (about 120-130 g per day) and I'm wondering if it could be related

to this and if decreased protein should be encouraged as a cautionary

measure.

Thanks for your replies.

Shelby

> **

>

>

> Cr can be related to body mass - is your pt a weight lifter?

>

> Tina Marie

>

>

>

>

> Certainly not based on just a lab test. It would be dangerous to practice

> without looking at the whole patient.

> That includes a discussion with other members of the healthcare team to

> determine what the root cause of an elevated lab value might be.

>

> Pam Charney, PhD, RD

> Author, Consultant

> pcharney@...

>

> " If all you ever do is all you've ever done, than all you'll ever get is

> all you ever got " - Anonymous

>

>

>

> Do you recommend a protein restriction for patients who have an elevated

> creatinine (1.8-2.0) but no known kidney disease? If so, what do you

> recommend as an acceptable range?

>

> Thank you,

>

> Shelby , MS, RD, LD

>

>

[Guest guest]

No. You still need to look at the whole picture, beyond what you've discovered

from this bit of history.

p

Pam Charney, PhD, RD

Author, Consultant

pcharney@...

" If all you ever do is all you've ever done, than all you'll ever get is all you

ever got " - Anonymous

> Cr can be related to body mass - is your pt a weight lifter?

>

> Tina Marie

>

>

>

> Certainly not based on just a lab test. It would be dangerous to practice

without looking at the whole patient.

> That includes a discussion with other members of the healthcare team to

determine what the root cause of an elevated lab value might be.

>

> Pam Charney, PhD, RD

> Author, Consultant

> pcharney@...

>

> " If all you ever do is all you've ever done, than all you'll ever get is all

you ever got " - Anonymous

>

>

>

> Do you recommend a protein restriction for patients who have an elevated

> creatinine (1.8-2.0) but no known kidney disease? If so, what do you

> recommend as an acceptable range?

>

> Thank you,

>

> Shelby , MS, RD, LD

>

>

[Guest guest]

I would look at his protein intake in relation to his wt, his BUN, and his fluid

status. It's possible that he may be consuming too much protein and too little

fluids to meet his needs, which may affect his creatinine. And I would discuss

these factors with his provider.

Dan Munford MS,RD,CSCS,LDN

> >

> > Do you recommend a protein restriction for patients who have an elevated

> > creatinine (1.8-2.0) but no known kidney disease? If so, what do you

> > recommend as an acceptable range?

> >

> > Thank you,

> >

> > Shelby , MS, RD, LD

> >

> >

[Guest guest]

I would look at his protein intake in relation to his wt, his BUN, and his fluid

status. It's possible that he may be consuming too much protein and too little

fluids to meet his needs, which may affect his creatinine. And I would discuss

these factors with his provider.

Dan Munford MS,RD,CSCS,LDN

> >

> > Do you recommend a protein restriction for patients who have an elevated

> > creatinine (1.8-2.0) but no known kidney disease? If so, what do you

> > recommend as an acceptable range?

> >

> > Thank you,

> >

> > Shelby , MS, RD, LD

> >

> >

[Guest guest]

I would look at his protein intake in relation to his wt, his BUN, and his fluid

status. It's possible that he may be consuming too much protein and too little

fluids to meet his needs, which may affect his creatinine. And I would discuss

these factors with his provider.

Dan Munford MS,RD,CSCS,LDN

> >

> > Do you recommend a protein restriction for patients who have an elevated

> > creatinine (1.8-2.0) but no known kidney disease? If so, what do you

> > recommend as an acceptable range?

> >

> > Thank you,

> >

> > Shelby , MS, RD, LD

> >

> >