I Hate Dialysis Message Board
Dialysis Discussion => Dialysis: Home Dialysis => Topic started by: pinkyD on September 15, 2016, 07:30:51 PM
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I've been trying to lose some weight (aren't we all!) and am having no luck whatsoever. Being diabetic doesn't help either. I log all my foods and should be losing something, albeit slowly. I figure it must be the PD. I do PD around the clock, so I must be taking in a huge amount of calories from the solutions. I talked to my nutritionist today about how many calories PD provides, and she told me just 360 calories. Wha?? :o I was really surprised at how low it was. Now I'm suspicious if her calc is accurate. I was sure I was getting around double that.
Would anyone know of a way to accurately calculate calories? I understand it depends on solution strength, volume, dwell time, and manual or cycler method.
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I had heard it was 500 calories. Don't quote me.
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I don't know the number of calories but using 10 liters on my Cycler all night, 5 liters 1 1/2% and 5 liters of 2 1/2% would cause a 30 point rise in my blood sugar. So I had to make a 5 unit increase in my nightly Lantus to compensate for it.
Prednisone is my downfall. It added another 40 pounds over the last year. I did quit taking it but it is VERY slow to take that back off. That additional weight has caused me to DOUBLE my nightly Lantus. From 20 to now 40 units. And my morning numbers are still averaging 130. I may have to increase another 5 pretty soon if it doesn't begin to straighten out.
Don't worry so much about the calories in your PD fluid. Skip a piece of bread or a bite of noodles. Take a short walk. It will work out fine.
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I'm kinda having the same issues (without the diabetes, though) and I was wondering the same thing. I've been trying to get outside and active more, which is much easier now that we're not having temps over 100.
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The big muscles in the legs burn far more and quicker than most all other muscles in the body. Simply walking, or dancing around the house for a time can make a big difference over a year if you make it a daily thing.
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About a month ago I started to gain weight and it started to worry me enough that I called the nurse at the clinic. He said that the longer people were on PD usually at around one year they start to gain weight. This did not sound good as my weight had been stable for the whole time I had been doing PD (eight months). I than realized that I had been eating a little more than normal but the worst thing was that starting to eat and snack later at night. Even before PD I did not do this but for about three weeks I was hungry all the time. Eating more than normal is what caused me to gain an extra 10 pounds. It took about three weeks to get my weight under control and back to normal.
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