2014年11月20日星期四

Principles of diet therapy in patients with diabetic nephropathy

Control diet for the treatment of patients with diabetic nephropathy is very important, and diabetic nephropathy diet and also taking into treatment requires both diabetes and kidney disease, and therefore should follow the principles of diet therapy, namely high-quality low-protein diet, eating regular meals, salt restriction limit water.
1. High-quality low-protein diet: How much protein intake in diabetic nephropathy patients, should refer the patient's serum creatinine and endogenous anhydride clearance decision. The higher serum creatinine levels, lower creatinine clearance, protein intake control more stringent. Should minimize the intake of vegetable protein, it is because the plant protein containing a non-essential amino acids, is inferior protein, generally should Eat soy products, may be appropriate to restrict staples such as flour, rice, the staple food because there is a certain amount of vegetable protein, can appropriate to add milk, eggs, fish, lean meat and other animal protein, especially milk, egg protein is appropriate.
2. eating regular meals: meals in diabetic nephropathy patients may or four meals, meals for breakfast 1/5 heat distribution, lunch and dinner each 2/5. Four meals for breakfast 1/7 heat distribution, and the remaining three meals each 2/7.
3. Limit salt water restrictions: When patients edema or hypertension, we should limit salt intake, should not be more than 3 grams per day, water intake should be the correct day before urine output plus 300 ml to 500 ml, maintaining body weight substantially constant.
In addition, patients with diabetic nephropathy but also high-fiber diet, low phosphorus, adequate calcium supplement, vitamin.

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