Diet after Diabetes Develops into Diabetic Nephropathy

What is the diet after diabetes develops into diabetic nephropathy?
1. Restrict the intake of Protein: long term of high-protein diet can aggravate the condition of high filtration state, lead to increased metabolin of poisonous nitrogen products and cause the retention of those poisonous products, which further damages the injured kidney. So Diabetic Nephropathy patients are suggested to properly restrict the intake of protein, avoiding the condition mentioned above. In order to relieve the burden of kidney, patients should take high quality protein and have a low protein diet, such as lean meat, egg, milk, fish, etc.
2.Energy: when patients take a low protein diet, they should insure the energy supplement of the body to keep the normal physiological requirements.
3. Low-fat diet: patients at end-stage of renal disease (ESRD) can suffer lipoidosis, so they should take low-fat diet such as olive oil or arachis oil, which contains much unsaturated fatty acid.
4. Restrict the intake of salt: patients when they suffer Hypertension or other obvious symptoms such as edema or decreased urine volume, they should restrict the salt intake, which can relieve the symptom. However, when patients have those symptoms such as vomiting, diarrhea, they should not strictly restrict salt or even supplement salt.
5. Water intake: when patients don not have obvious symptom of edema, they should not restrict water and they need some more water to discharge the waste products in body. However, when there are symptoms of obvious edema, oliguria, anuria, patients should restrict water intake. Otherwise, masses of water intake will aggravate burden to kidney. As a result, ESRD patients should restrict water intake according to urine volume. In addition, when patients suffer fever, diarrhea, vomiting, they should supplement more water.
6. Potassium intake: patients should not restrict the intake of potassium when it is in normal range. However, potassium should be restricted when patients suffer Hyperkalemia and when they suffer Hypokalemia patients should supplement potassium. high-potassimum food such as spinach, bananas, fungus, bean products.
Other substances such as calcium, phosphorus: when kidney is damaged, the discharge of phosphorus will be reduced, leading high level phosphorus. In addition, the injured kidney can also lead to the declined generation of vitamin D3, which affects the absorb of calcium. When the calcium in blood is in a low level, it can easily lead to osteoporosis. So the ideal diet should contain more calcium but less phosphorus. A low protein diet can reduce the intake of phosphorus.
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