Post Date December, 03 2023
1. Fruits contain a large amount of sugar, such as glucose, fructose and sucrose, and some fruits contain a small amount of starch, such as apples, mangoes and sucrose. If eaten improperly, it is easy to lead to increased blood sugar and exacerbate the clinical symptoms of diabetes nephropathy.
2. The water content of fruits is generally high, and some fruits are more than 90%, such as watermelon and peach. Many patients with diabetes nephropathy will have edema, oliguria or anuria, and need to severely limit water intake. At this time, it is not wise to eat fruit rashly.
3. Fruit is rich in potassium, and abnormal blood potassium is also very common in patients with diabetes nephropathy. Especially in the period of oliguria and anuria, potassium cannot be excreted out of the body with urine, and a series of clinical symptoms of hyperkalemia such as numbness, fatigue, nausea, vomiting, and heart failure occur.
Fruit has unique flavor, charming color and rich vitamins, inorganic salts and dietary fiber, which plays an important role in maintaining human health. Many patients with diabetes nephropathy are eager to eat some fruit, so how to solve the contradiction between eating and not eating?
The right way to eat fruit
In fact, the method is also very simple. For most patients with diabetes nephropathy, as long as they firmly grasp the four points: grasp the condition, the right time, select the right kind of fruit and appropriate intake, they can fully enjoy the benefits and fun of fruit.
Grasp the condition - diabetes nephropathy patients can safely eat some fruits when their blood sugar is stable (blood sugar<11.1 mmol/L 2 hours after meal or fasting blood sugar<7.8 mmol/L), blood potassium is not high, and there is no need to strictly limit water (edema, oliguria, anuria, etc.). In case of continuous increase of blood glucose, large fluctuation of blood glucose recently, hyperkalemia, oliguria or anuria, it is better not to eat fruit until the condition is stable.
The right time - fruit should not be eaten together with the main meal. It is best to eat it as a snack between meals. It is best to eat around 10 a.m. or 3 p.m., which can not only replenish the consumed energy but also affect the consumption of dinner.
Appropriate fruit type - if the blood sugar is high, try to choose fruits with relatively low sugar content and slow blood sugar increase speed, such as watermelon and strawberry, which are suitable for low sugar content, while persimmons, bananas, fresh litchi and other fruits with high sugar content are not suitable for consumption. Patients with high blood potassium fluctuation and sensitivity can choose fruits with relatively low potassium content, such as papaya, Sydney, jujube, apple, grape, etc.
The key is to control the quantity - in a balanced diet, it is recommended that diabetes nephropathy should not consume more than one piece of fruit every day (about 200g). One piece of fruit provides energy equivalent to 100g of potatoes. Excessive intake of fruits will lead to large fluctuations in blood sugar and excessive intake of potassium, which is not conducive to the stability of the condition of patients with diabetes nephropathy.
