Diet for people with diabetes with kidney diseases

Diabetic kidney disease also called as diabetic nephropathy is a complication that occurs in some people with diabetes.In this condition, the filters of the kidneys, the glomeruli, become damaged. Because of this the kidneys ‘leak’ abnormal amounts of protein from the blood into the urine.

With diabetes, the small blood vessels in the body are injured. When the blood vessels in the kidneys are damaged, your kidneys cannot clean your blood properly.Your body will retain more water and salt than it should, which can result in weight gain and ankle swelling. You may have protein in your urine. Also, waste materials will build up in your blood.

Diabetes also may cause damage to nerves in your body. This could cause difficulty in emptying your bladder. The pressure resulting from your full bladder can back up and injure the kidneys. Also, if urine remains in your bladder for a long time, you can develop an infection from the rapid growth of bacteria in urine that has a high sugar level.


Percentage of people with diabetes who develop kidney failure?

About 30 % of patients with Type 1 (juvenile onset) diabetes and 10 -40 % of those with Type 2 (adult onset) diabetes eventually will suffer from kidney failure.

Nutritional importance for diabetics ?

Your dietitian will give you nutritional guidelines that tell you how much protein, fat and carbohydrate you can eat, as well as how much potassium, phosphorus and sodium you can have each day. Because your diet needs to be lower in these minerals, you’ll limit or avoid certain foods, while planning your meals.

A portion of food:

Portion control is also important. What may be measured as one serving on a regular diet may count as three servings on the kidney diet? Doctors and dietitian also recommend you eat meals and snacks of the same size and calorie/carbohydrate content at certain times of the day to keep your blood glucose at an even level.

Checking blood glucose levels is important.

Diet plan for people with diabetes with CKD?

Dietitians recommended that control portion of diet with complete nutrient must be necessary for people with diabetes. So that, you can prevent yourself from complications as well as hypoglycemia. Because of hypoglycemia is more dangerous for life than hyperglycemia. Monitor your blood sugar level routinely.

Recommended diet:

Milk products:

Skim or fat-free milk, non-dairy creamer, yogurt, sugar-free yogurt, sugar-free pudding, sugar-free ice cream, sugar-free nondairy frozen desserts, etc

Portions of dairy products are often limited to 4 ounces due to high protein, potassium or phosphorus contents.

Bread and routine food:

White, wheat, sourdough, whole wheat and whole grain bread, unsweetened, refined dry cereals, cream of wheat, grits, malt-o-meal, noodles, white or whole wheat pasta, rice, bagel (small), hamburger bun, unsalted crackers, cornbread (made from scratch), flour tortilla.

Fruits, shakes, and juices.

  • Apples,
  • apple juice,
  • applesauce,
  • apricot halves,
  • berries including strawberries, raspberries, cranberries, blackberries and blueberries,
  • low sugar cranberry sauce,
  • cherries, fruit cocktail,
  • grapefruit,
  • grapes,
  • grape juice,
  • kumquats,
  • mandarin oranges,
  • pears,
  • pineapple,
  • plums,
  • tangerine,
  • watermelon,
  • fruit canned in unsweetened juices.

Vegetables:

  • Mixed vegetables with corn and peas (eat these less often because they are high in phosphorus).
  • Potatoes (soaked to reduce potassium, if needed)
  • Brussels sprouts.
  • Frozen broccoli cuts.
  • Green beans.
  • Iceberg lettuce.
  • Mustard greens.
  • Red and green peppers.
  • Raw spinach (1/2 cup).
  • Snow peas.
  • Summer squash.

Meats and eggs:

  • Lean cuts of meat.
  • Fish and seafood; eggs.
  • Low cholesterol egg substitute; cottage cheese (limited due to high sodium content.

Fats:

  • Soft or tub margarine low in Trans fats.
  • Sour cream.
  • Cream cheese.
  • Low-fat mayonnaise.
  • Low-fat sour cream.
  • Low fat cream cheese.

Restricted diet for diabetics, with kidney failure:

Dairy products:

  • Chocolate milk.
  • Sweetened yogurt.
  • Sugar-sweetened pudding.
  • Sugar-sweetened ice cream.
  • Sugar-sweetened nondairy frozen desserts.

Bread and other products:

  • Bran bread.
  • Frosted or sugar-coated cereals.
  • Instant cereals.
  • Bran or granola.
  • Pancake mix.
  • Cornbread mix.
  • Salted snacks including potato chips, corn chips, and crackers.
  • Whole wheat cereals like wheat flakes and raisin bran, oatmeal, and whole grain hot cereals contain more phosphorus and potassium than refined products.
  • Fruits, shakes, and juices.
  • Dried fruits including dates, raisins and prunes, fresh pears, honeydew melon, kiwis, kumquats, star fruit, mangoes, papaya, nectarines, oranges and orange juice, pomegranate, fruit canned in syrup.

Vegetables:

  • Baked potatoes.
  • Sweet potatoes.
  • Baked beans.
  • Dried beans (kidneys, Lima, lentil, pinto or soy).
  • Winter squash.
  • Fresh bamboo shoots.
  • Beet greens.
  • Cooked Chinese cabbage.
  • Cooked spinach.
  • Tomato sauce or paste.
  • Tomato juice.
  • Vegetable juices.

Meats:

  • Canned and luncheon meats.
  • Hot dogs.
  • Organ meats.

Fats:

  • Bacon fat.
  • Back fat.
  • Margarine high in Tran’s fats.
  • Whipping cream.

Sweets and salted foods

  • Candy
  • Chocolate Regular sugar
  • Syrup
  • Honey
  • Molasses
  • Baked goods
  • Ice cream.
  • Canned foods.
  • Onion, garlic or table salt.
  • TV dinners.
  • Meat tenderizer.
  • Salted chips and snacks.

This is recommended by dietitians for chronic renal failure patient with diabetes. You can follow diet pattern and prevent yourself from further complications.