Diabetes and Kidney Patients Indian Diet Chart (PDF Diet Plan). Indian diet plan for diabetes and kidney disease. “My sugars are in control; let me have 1 more sweet.” The majority of diabetics would have faced this situation. But, they forget that they are exhausting the pancreas for insulin. here is a Diabetes and Kidney Patients Indian Diet Chart ( Diabetic Nephropathy PDF Diet Plan).
With long-standing diabetes, high sugars gradually affect the other organs of the body. It might damage
- The eyes; diabetic retinopathy
- Nervous system; diabetes neuropathy
- Kidneys causing; diabetic nephropathy
Uncontrolled blood sugars increase the volume of blood and make it thick. This leads to difficulty in blood circulation. The excess sugar is deposited in and around the cells and organs, damaging them. Diabetic nephropathy is caused when a person who is suffering from diabetes also has uncontrolled high blood pressure and high cholesterol. The uncontrolled sugars damage the kidney cells and hinder their function of filtering the blood.
Diabetic Nephropathy Diagnosis:
The most common method to diagnose diabetic nephropathy is to find albumin in the urine. The damaged kidneys do not retain proteins and thus excrete protein in the urine. There can also be electrolyte imbalance. There are no other symptoms to physically detect nephropathy, thus, get kidney profile tests done every 6 – 12 months.
Symptoms of Progressive Diabetic Nephropathy:
There might be bare minimum symptoms or no symptoms associated with diabetic nephropathy. However, if the kidney functioning worsens you may observe the following symptoms:
- Water retention
- Swelling of the hands, feet, and face
- Poor appetite
- Nausea and vomiting
- Dry skin with itching
- Darkening of skin on lower limbs
- Concentration deficit
- Weakness and drowsiness
- Muscle twitching
With progressive kidney malfunction, the insulin doesn’t get excreted and keeps circulating in the body. This may cause a drop in blood sugar. Prolonged uncontrolled diabetes, calls for keeping a check on diabetic nephropathy.
Treatment of Diabetic Nephropathy
- Medication: The first precaution is to control blood sugars as well as blood pressure with medications. Switch to medicines that help to delay the progression of kidney damage.
- Dietary control: Follow a diet that is high in fiber, moderate in carbohydrates as well as in proteins, and at the same time low in fat. Consume 25 kcal per kg body weight and 0.8 gms of proteins per kg body weight. Split the meals into small meals to avoid both sharp sugar spikes as well as a drop in blood sugar level.
Diabetes and Kidney Patients Indian Diet Chart ( Diabetic Nephropathy Diet)
Foods allowed in Diabetes and Kidney Patients Indian Diet Chart
Consume complex carbohydrates that maintain the blood sugars, relieve constipation, aid weight loss, and do not further damage kidneys. Include whole wheat flour, millets, oats, quinoa, broken wheat, vermicelli, varai, and sama. Try and consume only one kind of cereal at a time to avoid any sugar spike in the blood. Consume fiber-rich foods to keep the blood sugars in check, reduce weight, prevent overeating as well as reduce cholesterol.
Pulses and lentils
Pulses and lentils provide the proteins required to compensate for the loss of albumin in the urine. These are also rich in fiber which helps in maintaining blood sugars. Include 2 – 3 servings of pulses, deals, or sprouts in your daily diet.
Nuts and seeds
Nuts provide good-quality fats, fiber, as well as proteins. Consuming nuts in between meals not only satisfies small hunger but also prevents sugar drop and overeating in the next meal. For better nutrient absorption, soak the nuts and then consume them.
Dairy provides good quality protein that compensates for the proteins lost in the urine. It prevents muscle wasting in the body and provides calcium as well as other minerals. Consume 2 – 3 servings of low-fat dairy products. The calcium and minerals in the milk help to prevent osteoporosis generally observed in nephropathy patients.
Poultry and fish
Eggs and poultry provide good quality protein that helps manage diabetes, repair kidney cells, as well as prevent muscle wasting. Fish provides omega 3 that not only improves insulin sensitivity but also reduces stress, and inflammation. It also provides vitamin D. Consume 1 – 2 servings of fish or poultry daily. Do not deep fry the fish or chicken. Replace frying with steaming, boiling, broiling, grilling as well as baking.
Fruits and vegetables
Fruits and vegetables are high in fiber. Consume fruits only if the serum potassium levels are normal. Consume fibrous fruits like apples, pears, papaya, guava, pineapple, berries, persimmon, dragon fruit, etc. Avoid fruits like bananas, chickoo, sitaphal, as well as mango. Eat only 1 fruit in a day if the blood sugars are in the normal range. Leech the green leafy vegetables before consumption to remove excess potassium. Consume 2- 3 servings of vegetables daily.
A high-fat diet increases insulin resistance as well as worsens blood sugar. Keep the fat intake between 25 – 30 gms in a day. Consume either groundnut oil, olive oil, rice bran oil, or canola oil. Include good quality fats like walnuts, flaxseeds, and also chia seeds.
Nephropathy leads to water retention in the body. Excess salt intake not only increases water retention but also increases blood pressure. Restrict the salt intake to 1 – 1 and a half teaspoons a day. Avoid processed foods, tinned foods, bakery products, as well as packed foods that are high in salt and sodium preservatives.
Advanced nephropathy leads to swelling and water retention. Excess fluid intake might increase water retention. Consume fluids equal to your urine output plus 500 ml of insensible losses in sweat.
Diabetes and Kidney Patients Indian Diet Chart
Sample Diabetic Nephropathy PDF Diet Plan
(NOTE: If the patient’s blood sugar level is above 300 mg/ dl, a personalized diet plan will be needed. )
Empty stomach: Soaked nuts (Almonds, walnuts, apricot)
Breakfast: 2 Methi Thepla + Green chutney + 1 cup Milk
Mid-morning: 1 Fruit or 2 egg whites or 40 gms Paneer
Lunch: 1 cup Salad + 2 Phulkas + 1 cup Vegetable + 1 cup thick dal or 1 small dal vegetable tikki or ½ cup sprouts + 1 cup curd or 100 gms chicken or fish
Snacks: 1 cup Soaked Oats with chia seeds and flaxseeds + 1 date
Dinner: 1 cup Vegetable salad + 1 Millet roti + 1 cup vegetable + 1 cup Curd
Bed-time: 1 cup Turmeric Milk
Early detection of kidney damage is necessary to slow down the progress of nephropathy. If it is untreated, it might lead to end-stage renal failure and you might have to undergo dialysis. Work towards maintaining normal blood pressure and blood sugars and make lifestyle changes that will help in long-standing diabetes. Hope the above-mentioned Diabetes and kidney patient’s Indian diet chart ( diabetic nephropathy PDF diet plan) helps you.