Dietary Guidelines for Living at Home with Systemic Lupus Erythematosus (SLE)

  1. Why should SLE patients choose a high-protein, low-salt diet?
  A: Patients with SLE with kidney damage often lose a lot of protein from urine, which can cause hypoproteinemia, so it is necessary to supplement sufficient high-quality protein by drinking more milk, eating more soy products, eggs, lean meat, fish and other protein-rich foods. Patients who apply hormones or have kidney damage are also prone to water and sodium retention, causing edema, so a low-salt diet should be chosen.
  2.Why should SLE patients choose a low-sugar and low-fat diet?
  A: Since patients with SLE take glucocorticoids for a long time, it is easy to cause steroidal diabetes and Cushing’s syndrome, so they should control their diet appropriately and eat less food with high sugar content. As SLE patients have reduced activity and poor digestive function due to the disease, it is advisable to eat light and easily digestible food, and greasy and fried food containing more fat should not be eaten. In addition, calcium should be supplemented to prevent osteoporosis caused by glucocorticoids; eat more vegetables and fruits rich in vitamins, etc.
  3.Why should SLE patients take potassium supplements?
  A: Potassium is the main ion of intracellular fluid and plays a very important role in maintaining human health. Patients with SLE are prone to symptoms of low blood potassium, such as weakness, bloating, insomnia, muscle paralysis, irregular heartbeat, etc., due to the influence of disease, drugs and diet, therefore, potassium supplementation is needed. Foods rich in potassium include: green leafy vegetables, bananas, oranges, almonds, potatoes, soybeans, drupes, etc.
  4.What are the dietary restrictions for SLE patients?
  Answer.
  (1) Mutton, dog meat, horse meat, donkey meat, venison, etc.
  (2) Spinach can aggravate proteinuria and tubular type of lupus nephritis and easily cause urinary calculi.
  (3) Cauliflower may aggravate hair loss.
  (4) Shiitake mushrooms, celery, grass head (southern clover, purple clover) can increase photosensitivity.
  (5) Hot and spicy foods such as chili peppers, green peppers, garlic and onions should not be eaten in large quantities.
  (6) People with hyperlipidemia should eat less pork, lard, offal, chicken fat, fatty duck, fatty goose, fatty beef, mutton, scallops, etc., and foods with high sugar content.
  (7) Sea shrimp, sea crab and other seafood that can easily cause allergies should be eaten with caution.
  (8) Alcohol, medicinal wine or tonic wine should not be consumed, and smoking is not recommended.
  5. What should SLE patients do when they have a strong appetite and increased food intake after applying hormones?
  A: After taking large doses of glucocorticosteroids for a period of time, some patients may have a strong appetite and increase in food consumption, followed by weight gain and body fat, which affects the image of many patients, especially young patients, who have concerns before using hormones.
  The ways to cope with this are.
  (1) Diet should pay attention to choose a balanced diet rich in vitamins and high quality protein, such as more vegetables, fruits, lean meat, eggs, etc.
  (2) avoid stimulating food, do not eat spicy food. To avoid the already strong appetite increased again.
  (3) When you have a strong appetite, you should not eat as you like. You should arrange three meals a day in a reasonable way, with a good mix of meat and vegetables, and the amount of food you eat at each meal should be the same as the amount you ate when you were not sick. To prevent excessive weight gain in the short term.
  (4) When hungry, supplement with vegetables and fruits with low sugar content.
  (5) Diet should be regular, avoid overeating.