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Diabetic nephropathy can be difficult to eat with a diet that requires adequate calories and nutrients while limiting carbohydrates, fats and proteins, so if possible, you should adjust your meals three times a day under the guidance of a dietitian to suit your condition.
Questions about protein intake.
Long-term consumption of a high-protein diet may exacerbate the hyperfiltration status of the kidneys, while increasing the production and retention of toxic nitrogen metabolites in the body, leading to further damage to kidney function. Therefore, we advocate limiting dietary protein to reduce kidney damage.
Myth: Some patients believe that a vegetarian diet or no meat, dairy products, and eggs is a low-protein diet, but the plant protein in the vegetarian diet contains less essential amino acids, which cannot meet the needs of the human body, and long-term consumption may cause protein malnutrition, which is not conducive to the recovery of kidney function.
How to limit protein intake.
Limit the total amount of protein. It is generally advocated that the protein in the daily diet should be given according to the standard weight of grams and kilograms, and the proportion of high-quality protein should be increased within the limited range. Patients in the first stage of diabetic nephropathy, while adhering to the other principles of diabetic nutrition, grasp the quality and quantity of daily protein intake, and balance the intake and out, which may be conducive to the recovery of the kidneys.
For example, a height of 170 cm, a standard weight of 65 kg, and a urine microalbumin of 80 mg min belong to early diabetic nephropathy. Therefore, the amount of total protein in the daily diet should be:
65 grams 52 grams, high-quality protein should account for more than 25 grams.
When diabetic nephropathy progresses to end-stage nephropathy, protein restriction should be more stringent. Clinically, a partial wheat starch diet was used as the main caloric energy**, replacing rice and flour. This is because staple foods such as rice and flour contain a higher amount of non-premium vegetable protein (about 4 grams per 50 grams), while wheat starch contains very little vegetable protein.
However, because wheat starch is not easy to make, corn flour currently sold in the market can also be used instead. In this way, the amount of plant protein can be saved, and animal protein can be supplemented, which is more conducive to meeting the physiological needs of the body.
Amino acid supply: Consume as many essential amino acids as possible, and oral ketoacids can also be taken orally to replace some essential amino acids; or supplemented with amino acids for the kidneys.
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Patients should pay attention to controlling the total calories of the diet, eat small and frequent meals, drink more water, supplement more dietary fiber and vitamins, must control cholesterol content, should eat more fresh vegetables, fruits contain more sugar, and should be carefully chosen. Eat a light diet, eat plenty of easily digestible foods, and have enough vegetables and fruits. Eat small, frequent meals, eat small dinners, and control the amount of food consumed by obese patients to reduce the burden on the heart.
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People with such diseases should pay attention to a light diet, vegetables are OK, fruits are best not to eat, if you want to eat, you can satisfy your cravings a little bit, fish stew, soy products, eat meat 2 times a month, strengthen exercise, and be more active. Don't be salty in all your diet, preferably without salt.
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Patients who have undergone heart bypass surgery are not allowed to do strenuous exercise and should be re-examined every six months.
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The diet is mainly light, and it is advisable to walk and exercise for about 10 minutes.
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The diet of diabetic segment patients is fine, but you must not smoke or drink! It is still necessary to control the diet, properly reduce the sugar, do not eat more sugary foods such as fruits, onions, bamboo shoots, bitter gourd, etc.
Patients should not eat foods that are high in fat, sugar, and sodium (salt) after stenting. Such as beef and mutton, ham, scaleless burning fish, crustaceans, especially crab roe and egg yolk should never be eaten.
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1. Eat reasonably, don't be picky, don't overeat. To control high-cholesterol, high-fat foods, eat more vegetarian foods. At the same time, it is necessary to control the total calorie intake and limit weight gain.
2. Have a regular life and avoid excessive tension; Get enough sleep and develop a variety of tastes; Maintain emotional stability and avoid being impatient, agitated or sullen.
3. Maintain appropriate physical exercise activities to enhance physical fitness.
4 Drink more tea, do not drink too much, quit smoking, and avoid exposure to secondhand smoke.
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Eat more oats.
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