Dietary treatment principles for diabetic nephropathy
Diabetics should control their diet to reduce the burden of diabetic island β cells, but diabetic patients who may be complicated by nephropathy, diet control also needs to consider the patients’ urine protein loss and renal function.
(1) If intermittent or persistent proteinuria produces hypoalbuminemia without significant azotemia, the protein supply should be calculated in addition to 1 g / kg of body weight per day.Protein quality. At this time, most patients’ renal function has been reduced, so the amount of protein should not be too high.
(2) When combined with edema or hypertension, a salt-free, salt-free, or sodium-free diet should be used to prevent the development of edema and increase in blood pressure.
(3) When most patients with kidney disease are accompanied by hypertension and hyperlipidemia, adults should be appropriately reduced and unsaturated fatty acids should be used more. Cholesterol should be limited to 300 mg or less.
(4) According to the reference amount of fasting blood glucose, carbohydrate can be appropriately increased, but the thermal energy from carbohydrate is 70% larger.
(5) Some people think that the poor control of diabetes, the ability of red blood cells to release oxygen, related to the use of high-phosphorus diet, but should strictly control diabetes, if there is renal failure, high-phosphorus diet is not good for patients.
(6) If symptoms of anemia occur, more foods supplemented with iron and vitamin C should be provided in the diet. If the anemia is severe, it must be supplemented with drugs or even blood transfusions.
(7) When renal insufficiency occurs in patients with diabetic nephropathy, such as renal transplantation or insulin therapy, the principles of dietary treatment can refer to the relevant content of acute and chronic renal failure, dialysis and other methods.