Low protein diet should be adopted in the prevention and tre2017-05-28 10:54
Limiting dietary protein intake is one of the important means to prevent and control diabetic nephropathy. In the early stage of diabetic nephropathy, it is effective to prevent the occurrence and development of diabetic nephropathy by limiting protein intake and selecting high quality proteins on the basis of ensuring reasonable balanced diet. In the middle and late stage of renal disease, limiting protein intake is beneficial to the preservation of residual renal function and the alleviation of uremic symptoms.
In recent years, the influence of dietary protein on diabetic nephropathy has been paid more and more attention to. Studies have shown that restriction of dietary protein intake can effectively delay the progression of renal failure, alleviate the symptoms of uremia, and have a good prognosis for diabetic nephropathy.
Foreign scholars such as Hansen on diabetic nephropathy in patients receiving low protein (0.6 grams per kg of body weight per day) for 4 weeks, the glomerular filtration rate and urinary albumin excretion decreased; changed to normal protein diet, the index increased again, suggesting that the leakage of low protein diet can significantly improve renal hemodynamics and urinary protein this is a simple control of blood glucose, which can reach the effect of.
Limiting dietary protein intake can reduce glomerular filtration rate and effectively avoid the burden of high protein diet on the kidneys. In addition, low protein intake is often accompanied by a decrease in phosphorus intake, which can improve hyperphosphatemia, reduce calcium and phosphorus deposition in renal tubules and interstitium, and reduce renal damage.
Limit your protein intake according to your condition
In the early stage of diabetic nephropathy, the renal lesion is still in the reversible stage. At this time, if the protein intake of the patients is limited, the rate of progression of diabetic nephropathy can be obviously delayed. Therefore, limiting protein intake should be carried out as early as possible.
Patients with diabetic nephropathy should limit the extent of protein intake according to their condition. In early nephropathy, although patients may have a certain degree of proteinuria, but the degree of impaired renal function is light, Shang Wudan at this time by azotemia, protein per day per kilogram of body weight 0.8 to 1 grams of protein supply, or heat production accounted for 10% of the total energy, and shall ensure that the 50% comes from the high quality protein egg and milk, chicken, fish, meat and beans are rich in food.
When the renal function is further impaired and the various degrees of nitrogen and blood stasis occur, a lower protein diet should be given. Depending on the condition, 0.6 or 0.8 grams per kilogram of body weight per day or lower should be given, and 2 / 3 or all of which should be of high quality protein.
Once the glomerular filtration rate begins to decline, a more rigorous control of dietary protein (0.6 grams per kilogram of body weight) is required, which is beneficial for delaying the deterioration of renal function.