Diabetic nephropathy I was able to eat meat

Diabetic nephropathy I was able to eat meat

Diabetic nephropathy patients always "special treatment", in fact, there is a reason: diabetic nephropathy, often need low-protein diet.

Low-protein diet is Gesha? But also how to do? After reading the article today we will understand.

Tips, because the diabetic nephropathy low-protein diet is complex, today's article is relatively long, we have to have patience to read oh ~

Diabetic nephropathy to low-protein diet?

If the development of diabetes to a certain extent, had diabetic nephropathy, it means that the function of the kidney has caused some damage.

And the final metabolites of proteins need to be excreted from the kidneys, in order to reduce the burden on the kidneys, delay renal dysfunction, we need to limit food intake of protein.

If the kidney function is not good, and not limit the protein, so that the kidneys "injury" for high-intensity work, this time, the damaged kidney is like pulling cattle in the old cattle, it is easy to get tired to get on the ground.

Therefore, low-protein diets need to run through the entire course of treatment of diabetic nephropathy.

Low-protein diet is to eat less meat?

Doctors often tell patients with diabetic nephropathy:

Meal to eat; meat can eat, but not too much ... ...

This paragraph of words to listen to down, just think that under what should eat less, life has become sad reminder.

In fact, "low-protein diet" argument is not complete, because the front also missed the word "quality."

Do not underestimate the word, which determines the choice of food strategy: the total protein control under the premise of which half of the protein needs from animal foods, that is, lean meat, poultry, fish, shrimp and dairy products .

Food protein amino acids closer to the human body, essential amino acids, the higher the overall absorption rate. Which is the top egg, milk, fish, poultry, meat.

Therefore, the total protein control in the premise, the quality of the protein in the food should be high, in order to more efficient use of limited protein.

How much protein do I need each day?

Usually the doctor will tell patients with chronic kidney disease is a period of different stages of patients, protein intake is also different.

In patients with stage 1 and 2 chronic kidney disease, protein intake was 0.8 g / kg bw / day, whereas Phase 3, 4 and 5 needed to be reduced to 0.6 g / kg body weight. Acid preparations.

Let's give an example:

A 60 kg of diabetic nephropathy, if a period or 2, then the daily intake of 48 grams of protein;

While the same 3, 4 or 5 of the patients, you can only eat 36 grams.

This gap of 12 grams of protein, which is equivalent to 5 shrimp or 400 mL of milk. Which difference is not small, we must pay attention.

How to achieve a low-protein diet?

In general, low-protein diet is: to ensure that meat, reduce the amount of cereals, fruits and vegetables. The specific approach can follow the following three steps.

1. Calculate the total

Just now and we have said, we need to determine how much protein every day according to renal function, we can according to the disease, according to the limit to calculate.

Of course, a more convenient option is to nutrition, nutritionist to calculate.

2. Determine the amount of meat dishes

Determine how much protein to eat every day, then how to choose food is the problem. Because the low-protein diet requires half of the protein from high-quality protein, so you know how much meat to eat every day.

We have to ensure that each meal has high-quality protein, that is, meat, eggs, poultry, fish, milk.

For example:

Breakfast: Milk 200 mL (protein 6 g)

Chinese food: shrimp 10 (protein 10 grams)

Dinner: small yellow croaker 1 (protein 10 grams) + 25 grams of meat (protein 5 grams)

This already has 31 grams of protein.

3. staple food, vegetables and fruits

A weight of 60 kg of diabetic kidney disease in patients with a day 48 grams of protein, lose the above 31 grams, there are 17 grams can be assigned to the staple food, vegetables and fruits.

Staple food: a small bowl of rice protein is about 4 grams, so the lunch and dinner can eat a small bowl of rice. While the other staple food (noodles, wonton, buckwheat, corn) protein than rice, food consumption minus 1/2 to 1/3.

Vegetables: beans (soybeans, peas, beans, beans, peas, bean sprouts, etc.), yam, broccoli, bamboo shoots, lily, potatoes, sweet potato protein content of more than 3 g / 100 grams, so try to avoid or Reduce consumption. If consumed, the staple food needs to be reduced. Recommended for consumption of green leafy vegetables.

Fruit: The protein content of the fruit can be neglected.

How to make a delicious low-protein diet?

Chinese people grow up eating rice, reduce the rice will make people feel very uncomfortable. Do not worry, there are two ways to allow patients with diabetic nephropathy to continue to enjoy rice at the same time, but also a low-protein diet.

1. Selection of low-protein rice

The rice protein in the ordinary rice only 1/10 ~ 1/25, so eat this rice without reducing consumption, but also can be appropriate to increase the amount of some meat dishes.

The downside is that the price is more expensive. Fortunately, the domestic production of low-protein rice manufacturers gradually increased, so the price is likely to decline in the future.

2. Selection of low protein content, high starch content of cereals as the staple food

This kind of staple food, you can arrange for 1 to 2 meals in the meal. These low protein content of cereals are: wheat starch (Cheng powder), corn starch, lotus root starch, Fenpi.

Which can be made of wheat starch, wheat starch potato cake, wheat starch crystal dumplings, wheat starch leek steamed dumplings, wheat starch noodles. There are now on the market of wheat starch biscuits, low-protein diet can choose to snacks.

Outside to eat, how to do?

Be sure to take your current diet, tell friends or family to eat together, so they will be able to better meet, do not be embarrassed to say.

Meal, the amount of meat dishes than usual more than 1/3, but not more than 1 times. Fans pot, crystal shrimp dumplings, potatoes can replace the staple food. In addition to beans, other vegetables and fruits can be enjoyed with friends and family together.

These details should also be noted

Low-protein diet requires long-term adherence, and some details require special attention. include:

Ensuring enough energy: Enough energy intake is a prerequisite for effective protein use. Therefore, before the implementation of low-protein diet, both doctors and patients should go to nutrition clinics to allow nutritionists to determine your energy intake.

Weighing regularly: regular measurement of body weight can keep abreast of their nutritional status.

Regular monitoring of renal function, electrolytes: Understanding of low-protein diet on renal function and electrolyte effects.

Regular monitoring of albumin and prealbumin: understanding their body protein synthesis and nutritional status.