Beto Judith A, Nicholas Mary
Loyola University Medical Center, Division of Nephrology and Hypertension, Dialysis Unit, Maywood, IL, USA.
Nephrol Nurs J. 2009 Sep-Oct;36(5):497-504; quiz 505.
The balance of nutrition in patients with diabetes mellitus and chronic kidney disease is essential to optimum health outcomes. Multiple nutritional parameters need to be monitored, including energy balance, protein intake (type and amount), mineral control (sodium, potassium, calcium, phosphorus), fluid requirements, and coordination of carbohydrates, to achieve glycemic control in diabetes mellitus. The nephrology nurse benefits by understanding the multiple nutrition parameters required in diabetes mellitus and chronic kidney disease to participate and reinforce the complexities of the daily nutritional challenges in coordination with a registered dietitian. A comprehensive overview of the nutrition parameters in chronic kidney disease and diabetes mellitus is discussed so the question "So just what can I eat?" can be answered with greater confidence.
糖尿病和慢性肾脏病患者的营养平衡对于实现最佳健康结局至关重要。需要监测多个营养参数,包括能量平衡、蛋白质摄入量(类型和数量)、矿物质控制(钠、钾、钙、磷)、液体需求以及碳水化合物的协调,以实现糖尿病患者的血糖控制。肾病护士通过了解糖尿病和慢性肾脏病所需的多个营养参数,与注册营养师协作,参与并强化日常营养挑战的复杂性,从而从中受益。本文讨论了慢性肾脏病和糖尿病营养参数的全面概述,以便能更自信地回答“那我到底能吃什么?”这个问题。