caring for your kidneys - lilly india · pdf filegeneral guidelines for patients with diabetes...
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CARING FOR YOUR KIDNEYS
Kidneys are one of the major organs of the body. Each Kidney is made up about
a million units called Nephrons. The nephrons are the filtering unit of the kidneys,
removing harmful toxins from your body.
This gradually leads to decline in the kidney’s functions and may lead to
Chronic Kidney Failure
The nephrons become leaky and proteins spill in to the urine
because of diabetes
What are Kidneys and why are they important?
How does Diabetes affect your kidneys?
NEPHRON
Lab Tests
HbA1c
Regular Monitoring of Fasting and
Post Prandial Blood Glucose
Urine Microalbumin
Blood Urea & Creatinine
Creatinine Clearance
Symptoms
Frequent urination Elevated blood pressureSwelling of legs and puffiness around eyes
Less need of Insulin/oral anti diabetic pills
Unexplainedhypoglycemia
Weight gain
Foamy appearance or excessive frothing of the urine
Blood in urine
GENERAL GUIDELINES FOR PATIENTSwith Diabetes and Kidney Disease/ Diabetes Nephropathy
Food Allowed Foods to be AvoidedFoods to be Avoided forSodium Restricted Diet
• Rice, Rice Flakes (Poha), Rice Vermicelli, Murmura, Dal Vari, Rawa, Maida, Sago, Arrowroot.
• Fruits: Guava, Apple, Pear, Pineapple
• Milk and milk products as prescribed.
• Dudhi, Tendli, Bhindi, Turya, Red and White Pumpkin, Cabbage, French Beans, Gawar Phali, Cucumber, Beetroot, Carrot.
• Kadhi or thin Dal instead of thick Dals and Pulses
• Clear Soups
• Avoid all fruit juices
and Coconut water
• Avoid Coffee and
Cocoa
• Avoid Green Papaya,
Banana, Brinjal,
Drumstick, Lotus
stem, Sweet potato,
Beans, Tapioca,
Jackfruit, Yam,
Tomatoes
• Avoid Celery leaves,
Spinach, Amaranth,
Corriander leaves
• Avoid Red meat,
Pulses, Soups
• Avoid Chocolates,
Nuts and Dry Fruits
• Avoid Table salt
• Avoid Papad, Pickles, Chutney, Soya sauce, Tomato sauce, Soup powder, Jam, Jellies, Squashes, Marmalades
• Avoid Chaat masala, Sambhar masala, Custard powder
• Avoid all Canned and Tinned products
• Avoid Baking powder and products made of it such as Biscuits, Breads, Doughnut, Khaari, Cakes, Pastries, Nankhatais, Salted biscuits and Rusk
• Avoid Cornflakes, Processed Cheese, Salted Nuts, Noodles, Foods made of Ajinomoto, Dry fruits, Macroni
Fruits Recommendation
Pear
Guava
Apple
Pineapple
Litchi
Pomegranate
Watermelon
Plums
Fruits to be consumed (150-200gms/day) Fruits to Avoid
Mosambi
Malta/Orange/Kinoo
Peaches
Apricots
Red Cherries
Chickoo, Amla
Mango, Muskmelon
Banana, Kiwi
How to consume leafy vegetables?All the leafy vegetables contain potassium. The
vegetables should be washed in water thoroughly
and then passed through hot boiling water. This
process leaches out all the potassium and the
vegetables now can be cooked and consumed.
Suggested food items forrecommended protein intake (non-vegetarian)
40gm protein 60gm protein 70gm protein
1 Pulse Exchange +1 Meat Exchange +2 Milk Exchange
1 Pulse Exchange +2 Meat Exchange +3 Milk Exchange
1 Pulse Exchange +2.5 Meat Exchange +3.5 Milk Exchange
**Dietary protein restriction: 0.6-0.8 g/kg/day, If hemodialysis: ≥ 1.2g/kg/day,If peritoneal dialysis: ≥ 1.2-1.5g/kg/day*Exchange list: Next page
Dietary Guidelines for Americans 2005 and A Healthier You: www.healthierus.gov/dietaryguidelines/
http://www.unckidneycenter.org/patiented/The%20Renal%20Diet%20Sodium.pdf
Nutrition and chronic kidney disease. National Kidney Foundation. http://www.kidney.org/atoz/content/nutrickd.cfm. Accessed March 15, 2013.
Vegetarian diet. American Heart Association. http://www.heart.org/HEARTORG/GettingHealthy/NutritionCenter/Vegetarian-Diets_UCM_306032_Article.jsp. Accessed March 15, 2013.
Protein (g) content of selected foods per common measure, sorted by nutrient content. USDA National Nutrient Database. http://www.nal.usda.gov/fnic/foodcomp/Data/SR20/nutrlist/sr20w203.pdf. Accessed March 15, 2013.
Menu selection for vegan renal patients. The Vegetarian Resource Group. http://www.vrg.org/journal/vj2009issue4/2009_issue4_vegan_renal_patients.php. Accessed March 15, 2013.
Vegetarian diets in chronic kidney disease. Vegetarian Nutrition. http://vegetariannutrition.net/docs/Renal-Vegetarian-Nutrition.pdf. Accessed March 15, 2013.
Nutrition for later chronic kidney disease in adults. National Kidney and Urologic Diseases Information Clearinghouse. http://kidney.niddk.nih.gov/KUDiseases/pubs/NutritionLateCKD/index.aspx. Accessed March 15, 2013.
70gm protein
Suggested food items for recommended protein intake (vegetarian)
40gm protein 60gm protein
1 Pulse Exchange +3 Milk Exchange
2 Pulse Exchange (preferably 1 serving soya) +4 Milk Exchange
2 Pulse Exchange (preferably 1 serving soya) +5 Milk Exchange
Ref:�Exchange lists, Gopalan C. Nutritive Value of Indian Foods, National institute of Nutrition, ICMR, Hyderabad, Food exchange system, 1991
For further details contact:ELI Lilly and Company (India) Pvt. Ltd.Plot No. 92, Sector-32, Gurgaon-122001, Haryana | www.lillyindia.co.in
Milk Exchange List(on an average, one milk exchange gives 8gms of protein
Food Stuff Amount (gms / ml) Protein (gms)Milk, cow 250 8
Skim Milk, Liquid 320 8
Buttermilk 1000 8
Curd 258 8
Cheese/Paneer 33 8
Meat Exchange List (on an average, one meat exchange gives 7gms of protein
Food Stuff Amount (gms / ml) Protein (gms)Egg 53 7
Mutton muscle 38 7
Pomfret 41 7
Prawn 37 7
Sardines 32 7
Rohu 42 7
Sardines 32 7
Singhara 31 7
Chicken 20 7
Pulse Exchange List (on an average, one pulse exchange gives 7gms of protein
Food Stuff Amount (gms / ml) Protein (gms)Kala chana roasted 31 7
Kala chana 41 7
Chana dal 34 7
Urad Sabut(kaali dal) 29 7
Lobia 29 7
Sabut Moong 29 7
Moong dhuli 28 7
Masoor Dal 29 7
Matar 35 7
Rajma 30 7
Arhar Dal 31 7
Soybean 16 7
Moth 30 7
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