Diabetes is a condition in which blood sugar levels are higher than normal. thus resulting in abnormal blood flow throughout the body. When it occurs continuously, it results in changes in the blood vessels in the kidneys. and tissues in the kidney causing the kidney function to decrease accordingly Diabetic nephropathy may also be called diabetic nephropathy.
In addition to diabetes, it will affect the kidneys themselves. There are also complications of diabetes that affect kidney function, namely high blood pressure from diabetes. or a diabetic urinary tract infection (UTI) can also cause decreased kidney function.
kidney failure due to diabetes check risk factors Suggest ways to slow down the deterioration
Modern people must be careful of 3 liver diseases that are easy to cure but difficult to cure.
Examination to determine if there is diabetes in the kidneys The most commonly used is to check for protein in the urine. along with a blood test to check the level of kidney deterioration
Treatment for diabetic nephropathy is effective in the early stages. Don’t leave it too long Doctors often use both dietary advice and medication. to make the sugar level in the most suitable range And if there are no restrictions, doctors often choose to use drugs to reduce the pressure on the ureter. to slow down the deterioration of the kidneys from diabetes
For chronic kidney disease patients, the following dietary recommendations are:
1. Protein needs in patients with chronic kidney disease with diabetes mellitus Protein-restricted diets should be recommended, especially in patients with urinary protein leaks. Restricting this level of protein can reduce protein leaks in the urine. to slow the deterioration of the kidneys which is simple by limiting the intake of all kinds of meat Whether it’s fish meat, egg whites, pork, chicken, eat 2-3 spoons per meal.
2. Energy needs in patients with chronic kidney disease who have not received renal replacement therapy. An energy diet of around 23-35 kcal/kg body weight/day should be recommended, depending on patient factors such as current weight, age, sex, physical activity, and individual comorbidities.
3. Sodium and Potassium should be limited to no more than 2400 mg/day, but relevant factors such as blood pressure, drug administration, renal function must be taken into account. water balance in the body Blood pH blood sugar stressful state of the body including digestive symptoms to adjust the increase – decrease the amount of sodium and potassium that should be received each day as well
Phosphorus: Phosphorus should be limited to 800-1000 mg/day or approximately 10-12 mg/protein requirement 1 g/day to prevent secondary hyperparathyroidism.
5. Calcium intake per day should not exceed 2000 milligrams from whole foods and dietary supplements. and calcium in the phosphate binder, since blood calcium levels are an important factor in regulating parathyroid function. which affects the bones and calcification in various tissues
6. For chronic kidney disease patients with diabetes Nutritional therapy should be recommended for diabetes. To prevent blood sugar levels from rising very high. The target level of %HbA1C should be no more than 7% to slow the progression of the kidneys.
Thank you health information from Paolo Hospital Phahonyothin