Diabetic nephropathy, people are most worried about the diet, diabetes does not allow more pasta and fats, and nephropathy does not allow more protein, is not to starve people to death. Diet therapy is one of the “five carriages” of diabetes treatment, and is a fundamental part of diabetic nephropathy treatment. Adjusting the diet of diabetic nephropathy patients can not only make the patients “full” but also slow down the development of the disease. The diet of diabetic nephropathy should be managed according to the different stages of the disease. 1.Eating the right amount of calories A moderate daily intake of calories is very important to maintain the body’s nutrition and health. It provides the body with the calories it needs for life; helps maintain a healthy body weight; and helps the body make proper use of protein, which plays an important role in rebuilding muscle and tissue structure. If calorie intake is insufficient, it will consume body fat and even muscle tissue, leading to malnutrition. Too much intake will lead to obesity and increased blood lipids in the body. With diabetic nephropathy, patients will be asked to reduce dietary protein. While the calories are reduced, the patient needs to eat additional foods that are high in calories and low in protein to replace them. The calorie deficit is partially supplemented with carbohydrate-rich foods such as lotus root powder, almond cream, wheat starch, etc. (Starch is a product of flour, mung beans, sweet potatoes, etc. after pumping out their protein. About 20 grams of starch by food exchange has the same effect on blood sugar as 25 grams of raw flour.) These foods contain almost no vegetable protein, but are high in calories almost as much as in the same amount of flour. You can also add vegetable oils rich in monounsaturated fatty acids: olive oil, tea seed oil, for diabetics will not cause an increase in blood sugar and is beneficial to lower blood lipids. Some people with diabetic nephropathy mistakenly believe that the less carbohydrates they eat to control their blood sugar, the better; others mistakenly believe that starch will make their blood sugar rise even higher. In fact, carbohydrates provide the body with about 50% to 60% of the dietary energy (equivalent to about 4 to 6 taels of raw food), if the food intake is not enough, the body will consume protein and fat to produce heat to maintain the needs of life, the result will be diabetic nephropathy patients with ketoacidosis, increased toxin levels, malnutrition, etc. 2, intake of the correct amount of protein The human body needs the correct amount of protein, and the intake of the correct amount of protein is important for the health and comfort of the body. A long-term low protein diet can lead to malnutrition and susceptibility to various complications. In order to maintain the body’s metabolic needs for muscle and tissue repair, various enzymes, blood cells, and resistance to disease, everyone must ensure adequate dietary protein intake. At present, it is advocated that in the early stages of diabetic nephropathy, that is, the intake of protein should be limited, too much intake of soy products cause excessive body waste creatinine thus causing the burden of kidney decomposition, it is one of the reasons for the formation of diabetic nephropathy. Patients with diabetic nephropathy above stage III should implement a low protein diet while using keto acid preparations, i.e. 0.6 grams of high quality protein per kilogram of body weight per day is appropriate. However, for those patients on long-term dialysis, the nutritional deficiency is more serious, so the protein intake should be increased appropriately at this time, and even more protein than healthy people if necessary to improve the nutritional status, and vegetable protein from soy products is no longer absolutely prohibited food. It has been studied that moderate amounts of vegetable protein is also beneficial to prevent and control abnormal lipid metabolism and atherosclerosis, but need to pay attention to the risk of potassium and phosphorus accumulation. 3, according to the weight change increase or decrease the amount of diet Due to individual differences, each person’s digestion and absorption capacity of the diet is different, each person’s activity is also different, so you can not mechanically set a rigid fixed pattern of diet and the way, but should learn to increase or decrease their diet according to their weight. Wake up early in the morning on an empty stomach, empty urine and stool, wear very little clothing and weigh yourself, if there is no change in weight in 2 to 3 weeks, it means that the diet calories and consumption are basically the same. It is very important to maintain an appropriate weight. For diabetic nephropathy patients with normal body size and thin, the intake of starch and vegetable oil should be increased appropriately when reducing dietary protein food to maintain the intake of calories with the same as their previous this to make good blood sugar control. Obese patients with diabetic nephropathy often need to lose weight. If you need to lose weight you should ask a dietitian to help you lose weight slowly while maintaining a healthy condition. If you are gaining weight rapidly, tell your doctor.