Diabetic diet methods are there? Do you know diabetic diet? Here we are on the "diabetic diet" for related presentations:
Diabetic diet
According to statistics of the Japanese Society of dialysis therapy, diabetes, kidney disease complications increasing trend year by year, and this trend will continue in the future. Therefore, patients with diabetic nephropathy, dietary therapy has become an important issue.
For patients with diabetic nephropathy, a good control of blood glucose is very important. High blood sugar can cause thirst, leading to excessive water intake, hypertension and heart failure as the reason. Meanwhile, a good control of blood glucose can prevent diabetic nerve disease, retinal disease and vascular damage, such as digestive disorders and skin lesions. diet in patients with diabetic nephropathy, is largely based on the specific conditions of different patients, to determine the course of the disease, in particular, to prevent hypertension and nephrotic syndrome.
1. Complication of diabetic nephropathy in the course of diet-related points:
1) azotemia
Disease of the kidney creatinine clearance decreased to 30ml/min below, while a high azotemia, abnormal serum electrolyte concentrations, renal anemia and other phenomena. This period the diet should be strictly managed to prevent the symptoms of uremia appears. Delay into the dialysis time. Hope of protein intake 0.6g/kg (body weight) / day + urine protein excretion. In order to give full play to the effect of low protein and prevent the alienation of the body protein, daily intake of 30 to 35 thousand Cards / kg (body weight) of heat is needed. salt control in 5-8g / day, potassium is 1500mg / day, three meals a day in the water control in 800ml-1000ml, water intake and urine discharged the same day. electrolyte anomaly caused by continuous loss of appetite caused by sodium, hypernatremia, it is necessary to consider adjusting the composition of foods .2) into the blood dialysis uremic patients to regular hemodialysis, in addition to insulin and calorie intake to control the patients and, for the dietary content is generally not strictly limited.
General hope that the daily intake of protein 1.2 ~ 1.5g/kg (body weight) / day of heat 30 to 35 cards / h8 (weight) / day, salt 5 ~ 8g / day, K 1500-1800mg / day
2. Complication of diabetic diet therapy to consider ways to:
For the early stages of diabetic complications, their diet and diabetic diet basically no big difference. But with the progress of kidney disease the emergence of various clinical symptoms, diabetic diet alone is difficult to adapt to the sick. So for high blood pressure, edema, proteinuria and renal failure remain high in patients with advanced, symptomatic of the diet must be given guidance.
1) associated with high azotemia and proteinuria of more than 3.5g per day when the 0.6-0.8g/kg / day (target weight) + urinary protein excretion was considered the benchmark high-protein diet. In the nitrogen mass protein intake during hypertriglyceridemia should be restricted, but do not want less than 0.60/kg / day
2) the heat on energy intake, with or without renal dysfunction, in principle, basis weight of 30 kcal / kg daily for general consumption, amount of exercise to be a large increase in heat input. In recent years, renal failure that is used for high-calorie diet view to the revision of the trends that need careful not to place excess heat phenomenon.
3) the total fat intake of fat calories to 25%, about 30-40g (the diabetic diet unit of about 0.8 units), containing polyunsaturated fatty food composition to avoid the progress of atherosclerosis and hyperlipidemia It is very necessary.
4) water, electrolyte edema, hypertension and other symptoms, with or without renal dysfunction, the salt should be limited to 5.8g / day. For edema, oliguria symptoms generally limit water intake urine output +300 ml.
For the symptoms of high blood sugar-insulin-dependent patients, are generally very thirsty Lord above, for such cases the need for careful management of water intake to avoid excessive water intake.
Diabetic patients with renal failure than non-diabetic patients with renal failure after dialysis harder moisture control must be carried out on the water intake of repeated testing methods guidance, until I fully understood so far.
