Diabetic Kidney Disease Management Guidelines

Diabetic kidney disease (DKD) is one of the common chronic complications of diabetes, the main cause of chronic kidney disease and end-stage renal disease, and one of the leading causes of death in diabetic patients. The clinical features are persistent proteinuria in the early stage, renal dysfunction, hypertension, and edema gradually appearing, and finally, the disease progresses to an advanced stage, severe renal failure, uremia, and eventually death.

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Studies have found that early active intervention and treatment through effective means are of great significance for delaying the progression of diabetic nephropathy to renal failure, resulting in the death of diabetic patients and improving the quality of life of patients. Let's popularize the life tips for active intervention treatment. I believe that as long as you start with the small details in life, you will be able to produce magical "big effects"!

1. Moderate exercise

Exercise is the cheapest "drug" for treating diabetes. Regular, stable, and moderate exercise can reduce weight, change fat metabolism, help maintain blood sugar stability and help prevent and treat diabetic nephropathy; on the other hand, exercise can improve cardiopulmonary endurance and muscle strength in patients with diabetic nephropathy, and reduce the body's inflammatory state, reduce the risk of cardiovascular disease, and delay renal function damage.

It is recommended that diabetic patients do moderate-intensity aerobic exercise and resistance exercises, such as jogging, cycling, swimming, push-ups, sit-ups, etc. In addition, pay special attention to the intensity of exercise, and remember not to exercise excessively once chest tightness, shortness of breath, dizziness, and fatigue occur If you experience symptoms, stop exercising immediately and seek medical treatment.

2. Pay attention to protein intake

Various studies have shown that long-term intake of high protein will aggravate the hyperfiltration state of the kidneys, and at the same time increase the production and retention of toxic nitrogen metabolites in the body, leading to further damage to kidney function. Therefore, it is important to limit protein intake to reduce the burden on the kidneys. An important means of prevention and treatment for patients with diabetic nephropathy. It is recommended that the protein intake of diabetic patients should be mainly high-quality protein obtained from poultry, fish, soybean, and vegetable protein.

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It is recommended to use more complex carbohydrates and whole grains in the daily diet, especially vegetables, beans, and whole grains rich in high fiber. Under the premise of controlling the total calories, carbohydrates should account for about 55%-60% of the total calories

4. Diet rules

It is recommended to eat at least three meals a day, and eat fewer and more meals. At the same time, it should be regular and quantitative, and there should be 4-5 hours between meals. Insulin-injecting patients or diabetic patients prone to hypoglycemia can have moderate snacks. It is recommended to add 2-3 meals between the three regular meals or take part of the three regular meals as snacks to maintain the stability of blood sugar.

5. Pay attention to high calcium and low phosphorus

It is recommended to choose foods that are high in calcium and low in phosphorus. It is not recommended to eat high-phosphorus foods such as animal brains and viscera, pork ribs, shrimp skin, bone-strengthening powder, etc. It is recommended to eat more lotus root starch, vermicelli, cabbage, cabbage, egg white, celery, tomatoes, melons, sugarcane, and other high-calcium and low-phosphorus foods.

6. Eat a light diet, less oil, and less salt

It is recommended to use steaming, boiling, cold dressing, rinsing, etc. in the cooking methods of dishes; olive oil and camellia seed oil are used for cooking. Choose cooking at home as much as possible, reduce ordering takeaways and going out to dinners, and if special circumstances require dinners, try to choose meals according to the number of meals you usually eat at home and the combination of food.

7. Special Reminder

A special reminder to limit salt should follow the doctor's guidance and analyze according to the specific situation of the patient, and never limit salt blindly! Diet for diabetic nephropathy Due to the decline of renal function, special attention should be paid to the intake of salt. It should not be too little to cause a salt deficiency in the body, nor too much to cause edema.

Here is Wentang Jun, who strives to make sugar control more scientific, safer, and happier! We will update you with really useful dry goods every week! I hope you will support us a lot! I hope that diabetic patients can keep their blood sugar stable and control their sugar happily! If you have any questions or suggestions, welcome to log on to the Stabilizer APP, where more professionals and diabetics will share their sugar control experience with you!

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