Cardiovascular-kidney-metabolic syndrome
When kidney, heart and metabolism stop being treated as separate problems.
This is the formal recognition of something seen in clinic for years: obesity, type 2 diabetes, chronic kidney disease and cardiovascular risk are not four independent problems that happen to coincide, but one self-reinforcing process. Treating one while ignoring the others produces poor results.
Nutritionally it demands fine balances. The protein needed to protect muscle mass must be adjusted to kidney function. Sodium is restricted without destroying adherence. Potassium is watched. This is the scenario where a generic internet diet can do real harm.
- Protein adjusted to kidney function without sacrificing muscle mass
- Sodium, potassium and phosphorus controlled by stage
- Lipid profile and glycaemia managed simultaneously
- Hydration status and extracellular water monitored
- Coordinated work with nephrology and cardiology
This page is educational material from a registered dietitian, not a diagnostic tool. Diagnosis and medical treatment are your doctor’s remit; clinical nutrition accompanies that treatment, it does not replace it.
Frequently asked questions
It depends on your stage of kidney function and must be reviewed with your nephrologist. The idea that protein damages a healthy kidney is not supported, but with already compromised function the amount does need adjusting. This is exactly the sort of decision that should not be made by reading the internet.
Because fluid retention is common in this condition and distorts weight. Medical bioimpedance separates intracellular from extracellular water, which lets us tell whether a weight increase is retention or tissue.
Book a consultation
- In-person consultationsMon – Fri · 09:00 – 18:00
- Online consultationsSaturday · 09:00 – 14:00
- Payment processingWithin consultation hours
- Booking deposit$20.00 advance deposit
- ReschedulingFree with 24 h notice