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What nutrients can not be less in diabetic nephropathy diet?

Jun 24, 2017

Diabetic nephropathy is a common and serious complication (DM), in addition to the drug control of blood glucose, renal and other treatment, diet therapy of diabetic nephropathy can not be ignored, appropriate or not, affect the development and prognosis of diabetic nephropathy. How to build the best diet for diabetic nephropathy? If you want a good diet, you must make sure the elements you need in your diet. Diabetic nephropathy diet can not be missing the following points:
Protein
Diabetic nephropathy drugs, diet therapy and strict metabolic control, diabetic nephropathy can be corrected early selective proteinuria, suspension of glomerular sclerosis, but the basement membrane thickening and renal units can not reverse established reduction, such as giving a high protein diet, the increased glomerular filtration rate, increase the burden on the kidneys and the renal damage. DN the nitrogen metabolism disorder caused by muscle, amines and poison accumulation, high protein diet (high protein diet) will increase the poison accumulation, and affect the activity and amino acid level of various enzyme abnormalities, the proportion of arrhythmia. Therefore, the high protein diet can promote and aggravate the functional damage and histological damage of chronic glomerular diseases, and the low protein diet has the protective effect, which is the most significant in the early stage of nephropathy.
Quantity of heat
Patients with diabetic nephropathy should not only reduce proteinuria, but also to maintain normal work and life is appropriate, while restricting protein at the same time, it is necessary to relax the intake of carbohydrates. High glucose and low protein diet can improve the sensitivity of tissues to insulin. Many animal experiments and clinical studies have confirmed that protein loading increases glomerular pressure and promotes the development of renal damage, while high quality high protein diet is beneficial for the protection of renal function. Low protein diet generally can maintain the body's nitrogen balance, the minimum protein requirements should prevail. According to the research, the normal minimum required for protein in each age group: children 2.0g/kg - D, 0.6~0.75g/kg - D of adult, the kidney disease of low protein diet, general 0.6g/kg D, can reduce proteinuria, and urea nitrogen, creatinine decreased.
Fat
High cholesterol diet is one of the factors in the glomerular damage, under the premise of limiting fat intake, avoid eating food rich in saturated fat, such as animal offal, should choose unsaturated fatty acids such as corn oil, soybean oil, peanut oil, sesame oil, vegetable oil.
Sodium and phosphorus
Patients with hypertension and edema are more restricted to sodium salt, and 2~3g/d, renal failure and edema should be less than 2g/d. Phosphorus intake should be less than 3 5mg/kg D in patients with poor renal function. Low phosphorus diet can reduce residual renal unit oxygen consumption and reduce the deposition of calcium phosphate in renal tubules, basement membranes and stroma. In recent years, low protein, low phosphorus diet has been widely used in uremic patients, in order to delay the progress of renal failure. And it is safe to control blood sugar in insulin-dependent diabetes mellitus (IDDM).

what nutrients can not be less in diabetic nephropathy diet?
what nutrients can not be less in diabetic nephropathy diet?

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