Stephen J. Schueler, M.D.

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Diabetic Kidney Disease Diabetes Diet

It is important to follow a healthy diet if you have diabetic nephropathy.

Total Calories
Your daily intake of calories should allow you to maintain a healthy weight. Total calorie requirements vary according to your weight, height and activity. Your doctor and dietitian will recommend a total daily calorie requirement that is right for you.

Carbohydrates
Carbohydrates should account for 55-60% of your total calories. Carbohydrates include sugars, starches, and fiber. Whole grains, fruits, vegetables and fiber, are better sources of carbohydrate than sugars. Dietary fiber has been shown to prevent constipation, reduce the risk of colon cancer and reduce cholesterol levels. A healthy diet contains 20-35 grams of fiber per day.

Protein
Protein should account for 10-20% of your total calories. Those who have normal kidneys should consume about 50 to 60 grams of protein per day. Those who have kidney disease should consume no more than 45 grams of protein per day.

Total Fat
Fat should account for less than 30% of your total calories. Consume only unsaturated fats that are low in cholesterol. About 10% to 15% of your total calories should be in the form of monounsaturated fats, such as olive oil, canola oil and peanut oil. Cholesterol intake should be limited to less than 300 milligrams per day.

Sweeteners
Consider replacing sugar with artificial sweeteners. Saccharin (Sweet-n-Low), aspartame (Equal), and sucralose (Splenda) are acceptable alternatives.

Sodium
Sodium intake should not exceed 3,000 mg per day. Those who have high blood pressure, heart disease, kidney disease or liver disease should consume no more than 2,000 mg of sodium per day.

Vitamins and Minerals
Diabetes does not require vitamin or mineral supplements.

Alcohol
Alcohol should be limited to two drinks per day.

Continue to Diabetic Kidney Disease Kidney Diet

Last Updated: May 29, 2009 References
Authors: Stephen J. Schueler, MD; John H. Beckett, MD; D. Scott Gettings, MD
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PubMed Diabetic Kidney Disease References
  1. Olson DE, Norris SL. Diabetes in older adults. Overview of AGS guidelines for the treatment of diabetes mellitus in geriatric populations. Geriatrics. 2004 Apr;59(4):18-24. [15086070]
  2. Shlipak M. Diabetic nephropathy. Clin Evid. 2004 Dec;(12):814-33. [15865682]
  3. Thorp ML. Diabetic nephropathy: common questions. Am Fam Physician. 2005 Jul 1;72(1):96-9. [16035688]
  4. Wittmann I, Molnar GA, Degrell P, et al. Prevention and treatment of diabetic nephropathy. Diabetes Res Clin Pract. 2005 Jun;68 Suppl1:S36-42. [15955373]
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