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Diabetic nephropathy diet therapy

Aug 30, 2017

Diabetic nephropathy and diabetes also emphasize diet. But it should be noted that: Diabetic patients with diabetes diet diet and diabetes can not be the same. Because diabetes into the stage of kidney disease, especially into the stage of renal insufficiency, the protection of renal function on the treatment of a central problem. Dietary arrangements should of course also take into account the benefits of renal function. We based on the pathogenesis of diabetic nephropathy, combined with clinical practice, put forward the diabetic nephropathy renal insufficiency diet treatment of the four principles, as follows, for the majority of patients with diabetic nephropathy reference.

① high-quality low-protein diet: because too much protein intake, can increase the burden on the kidneys, so to control the total amount of protein intake. But the protein as an important nutrient, is the human body can not be missing, in particular, must be amino acids can not be synthesized by the human body must be ingested from the outside, so there must be more high-quality amino acids should be guaranteed. Specific implementation: should try to reduce the plant protein (including non-essential amino acids, inferior protein), the general should be fasting soy products, appropriate restrictions on staple food (white, rice also contains a certain amount of plant protein), may be appropriate to add milk, , Lean meat and other animal protein (including essential amino acids, high quality protein). Especially in milk, egg protein is appropriate In general: the amount of protein intake should be based on the patient's serum creatinine levels and endogenous creatinine clearance rate decision. The higher the serum creatinine level, the lower the elimination rate of endogenous creatinine, the more stringent control of protein intake.

② appropriate calorie low-fat diet: Diabetes diet is a low-fat diet, to control the total calories, and diabetic nephropathy should be appropriate to add calories. Lack of heat supply, the body of stored fat, protein decomposition, can make renal function indicators of serum creatinine, urea and so on. Calorie intake is too high, but also not conducive to blood sugar control. Fat can provide more calories, but because of the progress of renal failure, so still require low-fat diet. Specific implementation: generally encourage yam, taro and other foods with high starch instead of staple food. May be appropriate to eat more fans, Fenpi, vermicelli, etc., but should pay attention to less staple food. Can also be used wheat starch steamed bread, Hanamaki, steamed buns, etc., can add heat, but also does not contain protein, will not increase the burden on the kidneys.

High calcium and low phosphorus diet: diabetic nephropathy renal insufficiency, electrolyte imbalance to low calcium and high phosphorus is common, low calcium and high phosphorus caused by parathyroid "imbalance" there are progress on the renal failure, it should pay attention to the diet of high calcium Low phosphorus. But it is regrettable that the higher the calcium content of food containing phosphorus, such as ribs, shrimp and so on. So high calcium low-phosphorus diet emphasizes low-phosphorus diet. Specific implementation: should fasting animal offal such as brain, liver, kidney, eat less dried fruits such as pumpkin seeds.

High-fiber diet: high-fiber diet is conducive to maintaining smooth stool, toxins excretion, balance of human metabolism to maintain. Specific implementation: should be appropriate to eat coarse grains (such as cornmeal, buckwheat noodles, etc.), taro, kelp silk, some fruits, vegetables and so on. But it should be noted that: renal failure patients common electrolyte disorders, can be expressed as hyperkalemia and so on. Eating fruit, vegetables should pay attention to avoid high potassium varieties. Diet therapy is the basis of all treatment for diabetic nephropathy.

Diabetic nephropathy diet therapy

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