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Diet care for diabetic nephropathy

2017-01-12 16:16
Because many patients with diabetes are not good health recuperation have occurred, resulting in many patients with diabetic nephropathy, has brought great distress to the patients, experts said, at the same time of treatment must pay attention to diet, three meals a day to ensure nutritional condition, we must pay more attention.Health care measures:First, the active treatment of primary kidney disease, control the level of proteinuria: the more urine protein, the greater the damage to the kidney. Urinary protein should be maintained daily excretion of less than 0.5g, or urinary albumin creatinine 30mgg * Cr.Two, low protein diet: low protein diet can protect renal function, reduce proteinuria and so on. Usually daily intake of 0.6 grams per kilogram of body weight of 0.8 grams of protein. For patients with severe renal impairment, the daily intake of protein should be more stringent restrictions, but at the same time must prevent malnutritionThree, to avoid or correct the risk factors of acute exacerbation of chronic diabetic nephropathy: with kidney diseases such as primary glomerulonephritis, hypertension, diabetes, ischemic diabetic nephropathy, lupus nephritis relapse or aggravation of blood volume in the body; lack of hypotension, dehydration and shock; tissue trauma or hemorrhage; infection; renal injury nephrotoxic drugs or other physical and chemical factors; severe hypertension failed to control or blood pressure fluctuates dramatically; urinary tract obstruction; other organ failure in severe congestive heart failure, liver failure, pulmonary failure; severe malnutrition.Four, active treatment of renal damage caused by complications, such as correction of renal anemia, abnormal correct water and electrolyte disorders such as hyperkalemia, hyperphosphatemia, hypocalcemia and metabolic acidosis.Five, adhere to the treatment and follow-up of patients with some relief of symptoms after treatment, the feeling is very good, since that has healed, or think more medicine is not good for the body, or worry about the use of hormone "fat", will stop taking the drugs, ignore the maintenance treatment and follow-up.
Diabetic nephropathy diet should pay attention to the following points:First, the quality of low protein diet protein intake can increase the burden on the kidneys, so to control the total amount of protein intake. The specific implementation: try to eat less protein, rice flour, appropriate restrictions on staple food also contains a certain plant protein, may be appropriate to add milk, egg white, fish, lean meat and other animal protein. Generally speaking, the higher the serum creatinine level, the lower the creatinine clearance rate, the more strict the control of protein intake.Two, the right amount of calories and low fat diet diabetes diet is a low fat diet, to control the total calories, and diabetic nephropathy should be appropriate to add calories. Inadequate supply of calories, can make the renal function indicators such as serum creatinine, urea, etc.. Calorie intake is too high, is not conducive to blood glucose control. Fat can provide more calories, require a low-fat diet. Specific implementation: General yam, taro and other foods containing starch instead of staple food. May be appropriate to eat vermicelli, vermicelli etc.. Wheat starch can also be steamed buns, steamed buns, etc., can not only add calories, but also does not contain protein, will not increase the burden on the kidneys.Three, high calcium and low phosphorus diet diabetic nephropathy electrolyte disorders with low calcium and high phosphorus is common, so we should pay attention to the diet of high calcium and phosphorus. But often the food high in calcium phosphate is also high, so high calcium low phosphorus and low phosphorus diet stresses. Specific implementation: should be fasting animal offal, such as brain, liver, kidney, eat pumpkin seeds and other nuts.Four, high fiber diet high fiber diet is conducive to maintaining smooth stool, maintaining the body's metabolic balance. The specific implementation should be appropriate to eat more whole grains such as corn flour, buckwheat noodles and kelp, vegetables etc..So we must pay more attention to the diet, which can get better! The patients should be regularly checked, active prevention, once the infection can be treated with antibiotics under the guidance of a doctor.
 

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