Case Analysis of Dietary Suggestion for Diabetic Kidney Disease Patients (CKD stage5)
Diabetic Nephropathy(Diabetic Kidney Disease) Patient, male, 83 years old, 170cm tall, 55kg.
He has Type 2 Diabetes Mellitus for 15 years; six years ago, he was diagnosed with positive proteinuria (protein in urine); his serum creatinine began to increase five years ago; he has high blood pressure for 4 years.
One month ago, he began to have swelling in his lower limbs, but he does not have swelling at present. He feels tired and stays in bed almost all the time. No vomiting and nausea symptoms. The urine volume is about 2000ml per day. He has a low blood sugar at noon or at night.
1. His dietary condition
Breakfast: half an apple
Lunch: milk 250ml, Luffa 150g, spinach 50g
Dinner: rice 100g, meat 25g, green vegetables 50g
2. Laboratory examination
Serum Creatinine: 289 mmol/L; Uric Acid: 560mg/dl; Urea: 21.7mmol/L; Blood potassium: 5.51mmol/L; Fasting blood glucose 4.7mmol/L; Blood pressure: 140/60mmHg; HBALC: 5.4%-6.3%; Triglyceride: 1.29mmol/L; Total Cholesterol: 6.82mmol/L; Low density lipoprotein cholesterin (LDL): 5.51mmol/L.
The patients have the following problems: Hyperkalemia, Hyperuricemia, Hyperlipidemia, High blood pressure and Unstable blood sugar. He is confirmed to have CKD stage5.
1. The suggestions on the change of diet
Because of the Hyperuricemia, he should avoid taking high-adenine foods. It is suggested to take eggs, milk, fresh vegetables and fruits to supplement the need of calorie and protein.
Patients should limit the intake of high-potassium foods and the doctors should not give him medicines which might lead to Hyperkalemia.
Daily diet reference
Breakfast: fresh milk 250ml, 2 pieces of bread, seasonal vegetables
Extra meal: half an apple at 9-10 a.m.
Lunch: staple food, one egg, seasonable vegetables
Dinner: staple food, seasonal vegetables for over half a kilo
Extra meal: a glass of yoghurt before sleeping
2. Exercise suggestions
It is suggested that taking proper physical exercise after meal is essential and he can gradually increase the workout.
Blood sugar might be elevated when the quantity of diet is increased. Patients should take meal and exercise regularly. Once the elevation of blood sugar occurs, he can not reduce your intake of staple food. At this time, the patient should go to doctor to seek medical help.
The above is a case analysis of Diabetic Kidney Disease Patient’s diet plan. However, the diet should be regulated with the changes of the illness condition. If you want to know more about your illness condition and your dietary suggestion, please contact our online experts.
Do you have any question? You can leave a message.A detailed analysis of your condition by our experts can greatly guide your treatment and daily care.