Over time, if diabetes is not properly controlled, it can cause damage to blood vessels in the kidneys. This can lead to kidney damage and cause high blood pressure. High blood pressure can result in further damage to the kidneys by adversely affecting the delicate balance in the filtering system of the kidneys. 40% of the people who have type-2 diabetes and 30% of the people with type-1 diabetes go on to develop kidney disorders at some point.
People with kidney conditions may experience the following symptoms:
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Some factors that can increase the risk of kidney disorders are:
Let’s try to understand a bit about what the dietary requirements are for persons with diabetic kidney conditions. As one might gather from the above introduction, sugar control is essential to managing diabetes. However, there are some added requirements to help accommodate kidney disorders. Although it may seem like foods that are normally deemed healthy are the way to go, it’s really important to keep a check on the nutritional content of the foods you eat. Not all healthy foods are suitable for persons with a diabetic kidney disorder.
Limiting salt intake is a very important dietary requirement. Over time, ailing kidneys tend to lose the ability to maintain the salt-water balance. Limiting the amount of salt helps reduce blood pressure as well as decreases fluid buildup in the body.
Protein is indeed important for the body, but high protein intake causes your kidneys to work harder than usual.
People with kidney conditions have trouble processing excess potassium, so it ends up in the bloodstream, which can eventually cause heart problems.
Although phosphorus helps keep the bones strong, it is difficult for kidneys to remove excess phosphorus when they are diagnosed with a disorder. This can end up weakening the bones, and damaging blood vessels and organs such as the eyes and the heart.
Now that we know about some basic dietary requirements for people with diabetes and kidney conditions, let’s discuss some of the foods that can be incorporated into a healthy diet for kidney patients with diabetes in India. Let’s take a look at a diet chart for diabetes for people with diabetes and kidney conditions.
Plain chapatis or rotis made of atta (whole wheat flour) rather than maida (refined flour) are a great source of soluble fibre. Soluble fibres help reduce cholesterol levels, and complex carbohydrates can help avoid hunger for longer by providing sustained energy. It is the preferred source of carbohydrates and can be paired with numerous other foods. It is a staple in most Indian households, consumed for any meal of the day. It is recommended to not eat more than 2 to 3 chapattis per day. The chapatis/rotis should be preferably prepared without oil.
Dal (lentils) is another staple that pairs well with chapatis. Pulses such as dal generally have a low glycemic index which means they do not increase the blood glucose level by very much, which is important for patients with diabetes. Moong dal and arhar dal are recommended for patients with kidney conditions as other dals may have a high protein content. Around 30 grams is a good amount to consume.
Semolina is a great source of magnesium and fibre, therefore contributing to lowering blood glucose levels. Semolina is low in phosphorus and has been shown to improve renal parameters and can therefore be part of a kidney-friendly diet for patients with diabetes.
A question that is often asked is “Are kidney beans good for patients with diabetes?”. The answer is yes. They are high in fibre and are essentially a diabetes superfood as they help control the sugar level in the body. Beans, in general, have been studied to be a healthy source of protein for patients with kidney conditions. However, they may also have high phosphorus and potassium content which warrants a reduction in the consumed amount to a few spoonfuls.
Dishes such as dalia khichdi help reduce blood glucose levels and manage calorie intake. It is also suitable for patients with kidney conditions as it provides a suitable amount of protein but is low in potassium and phosphorus compared to other grains. The key is to exercise moderation with everything that is consumed. Moreover, it is paramount that you consult your dietician before incorporating any of these recommendations. Your personal dietary recommendations can vary based on various factors.
Diabetes and kidney conditions can both be highly obstructive to daily living. If not managed properly, they can lead to serious illnesses. Sugar, salt, protein, phosphorus, and potassium are the main nutrients that need to be controlled in a diet for kidney patients with diabetes in India. Foods such as dal, chapatis, dalia, rajma, and upma are healthy options for patients with diabetes and kidney conditions.
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