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Submitted by Dr S. Patel on 21 September 2015

PatientsEngage

Tue, 09/22/2015 - 15:28

Here is the feedback from Kohila Govindaraju a registered dietician:

Creatinine, a chemical waste, is naturally formed in the body muscle. It is produced from creatine , a combination of amino acids- glycine, arginine, and methionine.

Meat and fish are high in creatine that increase the production of creatinine in the body.
Beans are alternate source of animal protein and do not increase the creatinine formation in the body for not all beans contains aminoacids glycine, arginine and methionine that forms creatine.

Berries and other fruits rich in Vitamin C will help eliminate the creatinine from the body.

A balanced meal with rice/bread, beans, vegetables and fruits should help reduce the creatinine level in the blood

Am wondering whether this diet control is suggested for patients before or after transplant, I am not mistaken this is something akin to renal diet Suggested while on dialysis or after early detection

Dr S. Patel

Tue, 10/13/2015 - 12:28

During a renal transplant, the creatinine level is maintained between 100-120 umol/L, so if is is higher before or after, the patient may be put on a diet accordingly..

Creatinine is produced in the body in the muscular tissue mostly (by muscle activities) by catabolism of Creatine (an amino acid). Creatine is formed mostly in kidney and liver with the help of various enzymes. Now, most of the creatine is produced in the body and very little (about 4% only) is of dietary origin. thus, any dietary regulation is at the most very fringe in benefits in CKD management. Though, some control can be achieved. If we consider above, no muscle activity will lead to very little production of Creatinine. But, that in itself will be counter productive as it will lead to muscle wastage which in itself is harmful to body (malnutrition). Thus, in CKD, a balanced life style is needed , to include mild, mostly resistance exercises, (and not endurance). On the other hand, much control can be exercised in maintaining Urea levels by restricting protein intake, as the ammonia is produced in the gut by protein assimilation, which is converted in urea. So, a fine balance is