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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