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Dietary Taboos for Diabetic Kidney Disease! Remember “4 Eat, 5 Do Not Eat.”

diet plan

People with diabetes often experience unstable blood sugar levels, and poor dietary habits can easily lead to elevated blood sugar, worsening the condition. Moreover, certain foods can readily cause spikes in blood sugar. Therefore, individuals with diabetes should learn to control their diet, adopt healthy eating habits, and embrace a healthy lifestyle.

Take the case of a male patient in his 70s who regularly administered insulin but struggled to control his blood sugar. His glycated hemoglobin levels consistently ranged from 8% to 9% (normal for non-diabetic individuals is around 6%). When he went to the hospital for a check-up, his creatinine levels had risen, indicating significant kidney damage. Due to the lack of timely and effective blood sugar control, he developed uremia (a condition in which waste products normally excreted in the urine build up in the bloodstream), leading to his untimely death. It is truly regrettable that this patient, who could have been saved, succumbed to the disease. If preventive measures had been taken earlier, his life might have been prolonged.

Dietary Taboos for Diabetic Kidney Disease

Globally, the incidence of diabetic kidney disease remains alarmingly high. According to 2019 statistics, the number of patients with diabetic kidney disease has surpassed those with primary kidney diseases, ranking it as the leading cause of kidney disease. Both type 1 and type 2 diabetes can potentially lead to kidney damage, accounting for approximately 30% of cases combined. This implies that out of every 10 individuals with diabetes, around 3 will experience kidney impairment. Despite this high prevalence, the condition often does not receive proportional attention. This lack of attention may stem from patients not paying enough heed to minor changes in their bodies, ultimately falling victim to the clutches of uremia, or “uremic syndrome,” in the end.

Signals of Diabetic Kidney Disease

Edema (Swelling): Be vigilant for diabetic kidney disease when edema begins, starting with eyelid swelling and potentially progressing to the entire body.

Anemia Symptoms: Diabetic kidney disease should be a concern when experiencing symptoms of anemia. It can cause renal anemia.

Nausea and Vomiting: Beware of diabetic kidney disease when nausea and vomiting occur repeatedly. Renal failure can lead to gastrointestinal congestion and edema.

Chest Tightness and Shortness of Breath: Diabetic kidney disease should be a concern when experiencing chest tightness and shortness of breath. As renal failure occurs, metabolic waste cannot be efficiently eliminated, increasing the workload on the heart. Over time, this can lead to acute or chronic heart failure.

Reduced Urination, Increased Creatinine: Decreased urine output, or even the absence of urine, along with a gradual increase in creatinine, not only indicates diabetic kidney disease but also suggests a poor prognosis, with the inevitable development of uremia.

Note: If your body shows any of these five changes, it may indicate kidney disease. It is crucial to seek medical attention promptly and actively engage in prevention and treatment.

Now, how can individuals with diabetes maintain kidney health through their diet?

For diabetic kidney disease patients, remember the “4 Eat, 5 Do Not Eat” principles

‘4 Eat’

1.Consume Foods Rich in Dietary Fiber

Increase the intake of foods rich in dietary fiber to promote bowel movements and maintain metabolic balance. Foods high in dietary fiber include corn, buckwheat, barley, seaweed, etc.

foods rich in dietary fiber

2. Consume Foods Rich in Calcium

Increase the consumption of foods rich in calcium because kidney disease patients may experience reduced phosphorus excretion, leading to elevated blood phosphorus levels, which can impact calcium absorption. Consume calcium-rich foods such as dairy products and consider supplementing with calcium if needed.

3. Increase Intake of Low-Calorie, High-Volume Vegetables

Consume low-calorie, high-volume vegetables to satisfy hunger. Examples include cucumber, tomato, Chinese cabbage, rapeseed, napa cabbage, winter melon, bean sprouts, and lettuce. These foods are low in sugar content.

4. Increase Intake of Foods Rich in Vitamin B1

Consume foods rich in vitamin B1 to prevent metabolic disruptions caused by high blood sugar. Foods high in vitamin B1 include grains, dried fruits, and nuts.

‘5 Do Not Eat’

1.Limit Excessive Fat Intake

Prevent excessive intake of fats. The daily intake of total fats should be within 25% of the total calorie intake, and the daily intake of vegetable oil should be controlled to less than 25 grams.

Prevent excessive intake of fats

2.Avoid Excessive Salt Consumption

Refrain from consuming too much salt. The recommended daily salt intake is generally 2-4 grams.

3.Be Cautious with Water Intake

Be mindful of excessive water intake. When edema is evident, in addition to food, it’s advisable to limit daily water intake to approximately 500-800 milliliters.

4.Avoid High-Purine Diet

Steer clear of high-purine foods such as various meat soups, pig’s head meat, sardines, and animal organs. Lean meat also contains purines; it’s advisable to cook the meat first, discard the broth, and then consume it.

5.Minimize Consumption of Stimulating Condiments

Avoid consuming large amounts of stimulating condiments such as mustard, chili, and other spicy seasonings. These condiments can have a stimulating effect on the kidneys.

Recommended Foods for Diabetic Kidney Disease Patients

1. Whole Grains and Legumes

Include grains and legumes such as corn, Job’s tears (also known as Chinese pearl barley), millet, and buckwheat in the diet.

grains and legumes

2. Fruits and Vegetables

Incorporate fruits and vegetables like pomelo, orange, cherry, pumpkin, winter melon, zucchini, white radish, persimmon, and shepherd’s purse into the diet.

Fruits and Vegetables

3. Meat, Egg, and Dairy

Include lean pork, lean beef, egg whites, and skimmed milk in the diet for a balanced source of protein.

Meat, Egg, and Dairy

4. Aquatic Products and Fungi

Include species like grass carp, crucian carp, shiitake mushrooms, and grass mushrooms in the diet for a variety of nutrient sources.

grass carp

5. Other Foods

Include corn oil, olive oil, and walnuts for healthy fats and additional nutritional benefits.

corn oil

To prevent diabetic kidney disease, individuals with diabetes should consider the following:

1.Strict Blood Sugar Control

Good blood sugar control can reduce the occurrence and progression of Diabetic Kidney Disease.

2.Active Blood Pressure Management

Kidney disease and high blood pressure often mutually influence and promote each other. Therefore, actively controlling blood pressure is crucial for delaying the onset of diabetic kidney disease.

Blood pressure is recommended to be controlled below 130/85 mm Hg. For diabetic kidney disease patients with microalbuminuria, the recommended blood pressure control is below 120/80 mm Hg.

3.Reasonable Blood Lipid Control

Diabetic patients often have disturbed lipid metabolism, which can exacerbate kidney damage.

4.Quit Smoking and Limit Alcohol Intake

Quitting smoking and limiting alcohol intake are key aspects of preventing diabetic kidney disease.

5.Maintain a Regular Lifestyle

A regular daily routine supports normal metabolic processes, which is crucial for blood sugar control.

6.Consistent Exercise

Regular exercise can enhance insulin sensitivity, improve glucose tolerance, aid in weight management, and contribute to the control of blood pressure, blood sugar, and blood lipid levels, thus delaying the onset and progression of diabetic kidney disease.

7.Regular Check-ups

Patients with diabetes for more than 5 years are advised to undergo regular annual check-ups. Tests such as 24-hour urinary microalbumin or the kidney disease index are sensitive indicators for early detection and diagnosis of kidney disease, playing a crucial role in early intervention.

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