RDs with Liver disease experience, help appreciated

[Guest guest]

Hi

I need RDs who brains I can pick a bit.

 66 yo male, DB

insulin and newly added metformin. s/p 3 months choleycystectomy, still

had radiating pain GI to chest then they did liver biopsy & Dx

Cirrhosis (stopped drinking 12 y ago)

Current Labs (from memory don't have his chart)

ALK Phosp above normal at ~215   Other Liver function tests WNL

Mg low, put on supplement by PCP

Alb. 3.3

Renal WNL, 9some variances/outliers in WBC/RBC  low H/H)

About 40 pounds weight loss in past several months, 6'0 " 255. now.   

Large belly, states no ascities or frank fluid retention noted. On B/P

meds which is under control.

AIC over 10

Fasting glucose 121

Vit D still low about 16  (was on 50,000 IU 1x wk for about 3 wks, then

had switched to D3 2000 IU/d).  Not sure what Vit D level on previous

test was before they started supplementing.

Going to Hepatology center in 10 days.

I told them not to change any supplements yet.   Just concentrate on

standard food, decrease saturated fats, decrease animal protein,

increase vegetables and whole grains and get b/s under control. Avoid

salt.  Then see what hepatologist says ( and see if fish oil, vit D,

etc. are going to help/hurt/?)

Any insight is great!    I haven't had cirrhosis patient in years and then throw

in diabetes.....!

THANKS

Regards,

Lori

Lori Sullivan

OneSourceNutrition

Lori@...