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.

Case Analysis

The patients have the following problems: Hyperkalemia, Hyperuricemia, Hyperlipidemia, High blood pressure and Unstable blood sugar. He is confirmed to have CKD stage5.

Nutrition Prescription

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.

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