#1 Absolute First Sign Of KIDNEY DISEASE Is...

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Dr. Sten Ekberg
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Video Transcript:
Hello Health Champions today I'm going to talk about the number one absolute first sign of kidney disease and it's probably not what you think because every time I hear someone talk about the first sign or the early signs then they're usually talking about signs and symptoms related to severe kidney disease or even end-stage kidney disease the kidney is so much more than just a filter it eliminates waste product in the body it gets rid of excess fluids but it also regulates a lot of important things like pH which has to do with acid-base balance it's
super important that the blood is a very very specific pH it regulates our electrolytes like sodium potassium magnesium calcium and so forth it regulates the production of red blood cells so if there's not enough oxygen in the blood the kidneys tell the bone marrow to make more red blood cells and carry more or oxygen and by regulating electrolytes and getting rid of excess fluid the kidneys also is the primary regulator of blood pressure so the heart pumps about five liters of blood every minute at rest and out of that five liters about 20 to 25
percent is flowing through the kidney so all in all we have about 1400 to 1800 liters per day of blood flowing through the kidneys and then that blood is pushing fluid through the kidney so we're filtering out 180 liters of water even if you just drink two three four liters of fluid a day the kidney filters out many many times that so that's equivalent of about 760 cups or glasses of water every day and it does that so it can clean the blood and get rid of all the waste products but that all also means
that it has to reabsorb things so it reabsorbs more than 99 percent of all that water that is pushed out it reabsorbs 99 plus percent of sodium and absorbs most of the electrolytes back in and that's really hard work it absorbs reabsorbs 100 of the glucose so when all this fluid is pushed through the kidney out through these filters it also takes with it anything that's dissolved that's small enough to be filtered out along with it so proteins are too big they stay behind in the bloodstream but everything else dissolved basically is pushed out through
these filters and then because there are precious resources the kidney has to reabsorb it and get it back into the body so water sodium and glucose are very precious 100 of glucose gets reabsorbed absorbed unless we're diabetic and the glucose is so high that we exceed the kidneys capacity to reabsorb it and then that's where we have the diabetes which means sugar in the urine in chronic kidney disease is so much more common than people realize because about 15 percent of adults have chronic kidney disease that's 35 to 40 million adults in the U.S alone
but the problem is at 90 percent of those people don't know they have it because they don't know how to read the blood work and there are basically no signs and symptoms associated with this and as we age 38 percent of people over 65 have chronic kidney disease but the worst part is that there's so few symptoms with kidney disease until they ultimately fail that even the people who have severe kidney disease don't know about it 40 percent of people with severe disease don't know they have it so even though there are signs and symptoms
associated with it you don't want to wait for those because they usually indicate very severe Disease by the time that you notice the symptoms so most of the things in the list here are usually called early signs but they're actually very very late signs so let's talk about these early versus late signs so the first three on this list here are fatigue poor sleep and poor appetite and all of those can happen if there is such a degree of toxic buildup that your body doesn't function optimally and in order for toxins to build up to
that level you would have to have severe kidney disease number four is increased urination and there was a channel a very large Channel with a name similar to my own that made a video and said this was the the very first sign and it is not because by the time that you have increased urination especially at night called nocturnia then you have to spill glucose into the kidney if the kidneys are at fault for it it's because glucose is spilling out into the kidneys to the degree that they pull water with them and that is
a severely mismanaged diabetes on some degree of kidney failure but chances are if you're watching this you're going hey I'm in trouble I have that but almost all the time that you have nocturnia meaning you pee at night it's because you drank too much water before going to bed or too close to going to bed so don't freak out about that learn what the real kidney signs are and evaluate that number five is blood in the urine and in order for red blood cells to leak out into the urine in from a kidney problem you
have to have severe leakage because red blood cells are even larger than proteins they're not supposed to be in the urine at all number six is foamy urine and that could be a sign if protein leaks out into the urine but again the vast majority of protein in the urine unless it's chronic it's going to be because you have an infection of some sort it's going to be temporary and that also can produce some degree of foamy or even smelly urine if you have a bacterial infection or something so again don't freak out about that
it's very common unless it's chronic now it's a problem number seven is puffy eyes or edema and this is also severe kidney damage because you have to be leaking protein to the degree that you're deficient in protein you have to lose a lot of proteins through the urine especially albumin which is a very large protein it's designed to be a sponge and keep the fluid the water inside the bloodstream so if you lose a lot of this albumin now you're gonna have water leakage and it's going to be things like puffy eyes and puffy hands
and puffy feet and legs number eight is itching and number nine is muscle cramps and these could happen because of loss of minerals or an imbalance of minerals where the kidney wasn't able to get rid of some or it's losing too much of another but if the kidney is responsible for this directly the kidney would have to be severely damaged most of the time it's the adrenals that produce the hormones to tell the kidney how to balance the minerals so most of the time that you have some muscle cramps or you have an imbalance and
minerals it's not going to be super severe it's going to be more slight kind of in a functional range and then it's going to be more adrenal than kidney so in fact everything on this list is pretty late stage rather than early but if that's so then what is the early signs so let's see what the experts have to say the physiologists so this is from the American Journal of physiology and this is a paper on kidney or renal physiology so this paper is called insulin resistance in chronic kidney disease and what they have to
say about it is that insulin resistant is an early metabolic alteration in those with chronic kidney disease and not only that but the insulin resistant is apparent even while the kidney filtration is normal so in other words the insulin resistance is there first but also that the insulin resistant is almost Universal almost 100 percent in the people who reach end-stage kidney failure now that's not very surprising because the causes for chronic kidney disease are very well established and the number one cause bar none is diabetes especially type 2 diabetes with insulin resistance and number two
on the list is chronic high blood pressure and of course diabetes is the number one cause for chronic high blood pressure so that's again basically a single cause number three is chronic NSAIDs non-steroidal anti-inflammatory drugs so those are the pain medications sold over the counter to a large extent and also there if you have diabetes you have a low-grade systemic inflammation that's also going to cause a lot of pain and joint pain so you're going to be popping pills to cover up that pain but also on this list are autoimmunity and chronic inflammatory systemic conditions
like lupus for example that very often attack tissues like kidneys now what I want you to know is most of this live list is preventable and reversible so diabetes and chronic high blood pressure they're in the high 90s 95 98 percent reversible if we just know how it works and do something about it chronic pain could have many causes but a lot of that would go away if you handle your metabolic conditions autoimmune diseases are a little trickier but they also have a lot to do with inflammation and GI health and food choices so even
though you can't eliminate all of that you can make tremendous progress by learning how it works and living better but what if you already have some kidney damage what if you've run some blood tests and your numbers don't look so great well it depends on how far gone it is but in many many cases there's still time to do something about it and improve it and in my clinic there are some supplements from standard process us that are very very powerful they're the best on the market that we have found and those are called Rena
food arginex and renatrophin PMG so we'll put some links down below where you can learn more about those so if the signs and symptoms on that long list were all late stage then obviously we want to catch it before it gets to that point and if insulin resistance and type 2 diabetes are the primary causes then we want to figure out how to catch that early and the best and simplest test for that is the home IR there are other tests where you can spend a half a day and hundreds or even thousands of dollars
and you might get a little bit more precision and reliability but if you just want a basic screening for 20 bucks as an add-on to a test then home IR is a fantastic and simple way so all you do is you take the glucose times the insulin and most blood tests are already going to include glucose so you just need to add on insulin and we can typically do that for about 20 bucks then if you're measuring in milligrams per deciliter then your glucose is going to be in the 180 to 100 or 100 plus
range then you divide by a constant of 405 and that's to get a very healthy very insulin sensitive person to a value around one so a good range is anywhere from 0.5 to 1.5 then you are very insulin sensitive to quite insulin sensitive and then if you measure in millimoles per liter then all you do is you take the same multiplication but you take your glucose in millimoles and you divide by 22 and a half instead and the number is still going to come out same the ratio is going to be the same and why
is this so much more powerful than measuring glucose alone I've done this illustration a few times but if you've seen it then watch it again so that you can really get it well enough to explain it to other people so if we start off with with a certain amount of glucose and we are insulin sensitive then it's just going to take a small amount of insulin to handle that glucose but then if we eat a standard American diet with some processed foods and high carbs then a few years later we might be looking like this
so what's happened here is that glucose stays the same glucose is a controlled variable it is very very important for the body to keep the glucose the same that's the whole purpose of blood sugar regulation the body has a built-in defense against high blood sugar and that defense is called insulin so if insulin Rises to keep that glucose under control it means the cells are starting to resist the glucose so it takes more or insulin to push the glucose in so now we are already starting to become moderately or slightly insulin resistant but the glucose
hasn't changed and then another five years later we check it again and the glucose is still in a normal range plus minus a couple of points but instead now the insulin has gotten even higher and we are now becoming severely or significantly insulin resistant and we are just matter of time before we're in pre-diabetes or diabetes and then finally when the body fails when the body cannot produce enough insulin when the cells are so resistant that basically no matter how much insulin we put out there they don't want the sugar now is the first time
that that glucose starts going up and by now we typically have an insulin level something like that so what I want you to notice here is that the glucose Rises like this that it might take 15 20 years for the glucose to respond whereas if we instead measure the insulin we are getting a true measurement of the degree of insulin resistant and when they have checked the home IR against these gold standard these expensive lab tests there's a very good agreement in terms of insulin resistance between these gold standards and the Homa IR so it
is a very good test and you can catch things long before you get into type 2 diabetes so here is your number one absolute first sign of kidney disease and it is when the insulin starts going up that is true prevention that is how you catch it because if you don't this will lead to kidney disease so let's take another look at the Journal of physiology and here they're saying in a study where people had chronic kidney disease to some degree meaning that their filtration rate had suffered and dropped below 60 milliliters per minute so
we don't know what degree but they had some degree of kidney compromise and these people were not diabetic meaning they still had normal blood glucose meaning they were somewhere on this flat portion of the glucose line however these people when they checked the home IR the insulin resistance against the kidney filtration they found that as the home IR went up as the insulin went up even with normal glucose the filtration rate suffered they were inversely related so very often we hear that glucose is responsible for the damage and it is because glucose cause this micro
vessel disease that's where diabetes causes blindness and kidney failure but even before you're diabetic while your glucose is still normal the rise in insulin is also damaging the kidney and causing a reduction in the filtration rate so let's cover some must-know health information from the experts at John Hopkins medicine and they're talking about how to preserve your kidney function when you have diabetes they're saying that over time diabetes can harm the kidneys it can lead to kidney failure but here's the good news many people with diabetes do not end up with kidney problems okay so
that's not quite the good news I was hoping for but I didn't get this far in the reason I picked this article I only got to the headline before I kind of jerked and reacted and here's a sentence when you have kidney disease what does that mean when you have it then it's almost like it's your identity from that point on you can put it on your business card this is who I am I have it but what if instead of saying that you have it what if we said when you are currently in the
state of adaptation we call diabetes that would change things right if we understand that it's a current situation you could change it and if it's an adaptation then it's just something that the body did because we exposed it to something now let's have a little fun with this and let's say that you live in a world where kidney disease is not caused by diabetes but instead it's caused by dirty floors and I just picked the dumbest thing I could think of just to illustrate something for you so now kidney disease is caused by dirty floors
and now this article instead reads preserving kidney function when you have dirty floors and then they talk about how dirty floors can harm the kidneys this can lead to kidney failure but here's the good news many people with dirty floors do not end up with kidney problems and then the rest of the article they go on to describe the solutions which they can give you medication where they dull the pain from looking at the dirty floors and they can give you special glasses that filter out everything below knee level so you don't see the dirty
floors and you can do all these different things you can have prisms or you can go into therapy where they talk to you about the dirty floors so that they don't cause kidney disease and you're saying well why don't you just clean the floors but for that to work you have to understand that you can clean the floors you have to live in a world where that's part of the Paradigm and we unfortunately live in a paradigm where diabetes causes kidney problems but nobody understands that diabetes is an adaptation and hopefully you live on the
same planet that I do and then I want to let you know that it is very possible to reverse adaptations the vast majority of insulin resistance and type 2 diabetes not 100 but well over 90 percent is an adaptation that we can undo by simply understanding how it works and you can choose to do certain things you can choose to stop drinking soda you can choose to stop eating Donuts you can choose to start eating real food and this does not mean sawdust and cardboard word you can still eat eggs and meat and cheese and
fish and butter and Rich sauces and lots of salads and avocado very very satisfying Foods we just have to learn what they are and how to cook them because we may not have done that before and you can also choose to learn how your body works so that you can take control and get the results that you want and on my channel alone there are over 500 videos that teach you how the body works and how to make smart changes and if you want to dig a little bit deeper than the videos I've also created
a blood work course and last module we actually talked about the kidney in a lot more detail than this video and also about the adrenal which makes the hormones that help the kidney regulate these minerals and next week we're going to to go into the other side of it which is metabolic syndrome insulin resistance and so forth and we're going to cover in more detail the things that we talked about the home IR the glucose when it matters why it's not the best marker because it fluctuates so much you can talk about a better marker
called A1C we're going to talk about how it relates to insulin and to the triglycerides so I'll put a link down below for those of you who want to take it to the next level if you enjoyed this video you're going to love that one and if you truly want to master Health by understanding how the body really works make sure you subscribe hit that Bell and turn on all the notifications so you never miss a life-saving video
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