Dr. Ahmed A meal plan for diabetes and kidney disease is formulated in such a way as to minimize the fluctuations in blood glucose and prevent further kidney damage.
The specific quantities of protein, carbohydrates, fats, salt, and potassium for a diabetic with kidney disease can vary based on several factors, such as age, gender, body weight, and physical activity levels.
It is important for individuals with both diabetes and kidney disease to work with a registered dietitian to develop a personalized meal plan that meets their individual needs and health status.
In general, people with diabetic kidney disease are often advised to restrict their protein intake to help slow the progression of kidney disease and reduce the risk of further damage to the kidneys.
A protein intake of around 0.6-0.8 grams per kilogram of body weight is often recommended.
Carbohydrates should make up the majority of a person’s daily calorie intake and should be in the form of complex carbohydrates, such as whole grains, fruits, and vegetables.
Fats should come from healthy sources, such as nuts, seeds, olive oil, and avocado, and should be limited to 30-35% of daily calorie intake.
Salt intake should be limited to help manage blood pressure and potassium intake should be restricted to help manage high potassium levels, which are common in individuals with kidney disease.
Again, it is important to consult with a registered dietitian for personalized recommendations as specific nutrient needs can vary based on each person’s individual health status and medical history.
Here is a 7-day meal plan for diabetes and kidney disease:
Monday Meal Plan
Breakfast:
- 1 slice of whole-grain toast
- 2 scrambled eggs
- 1 medium-sized grapefruit
Lunch:
- Grilled chicken breast (3 oz)
- 1/2 cup brown rice
- 1 cup steamed vegetables (e.g. green beans, carrots, or broccoli)
Dinner:
- Grilled salmon fillet (4 oz)
- 1/2 cup quinoa
- 1 cup steamed vegetables (e.g. green beans, carrots, or broccoli)
Snacks:
- 1 medium-sized apple
- 2 Rice cakes
- 2 tablespoons almond butter
Tuesday meal plan:
Breakfast:
- 1 slice of whole-grain toast
- 1 scrambled egg
- 1 medium tomato
Snack:
- 1 medium pear
- 2 tablespoons of peanut butter
Lunch:
- Grilled turkey breast (3 ounces)
- 1/2 cup of white rice
- 1 cup of steamed green beans
Snack:
- 1 cup of low-fat cottage cheese
- 1/4 cup of grapes
Dinner:
- Grilled white fish (3 ounces)
- 1/2 cup of pasta
- 1 cup of roasted root vegetables (carrots, turnips, etc.)
Wednesday Meal Plan:
Breakfast:
- 1 bowl of cream of wheat
- 1/4 cup of dried cranberries
- 1 tablespoon of walnuts
Snack:
- 1 medium banana
Lunch:
- Grilled chicken breast (3 ounces)
- 1/2 cup of brown rice
- 1 cup of steamed cauliflower
Snack:
- 1 cup of non-fat milk
- 1 small whole-grain cracker
Dinner:
- Grilled shrimp (3 ounces)
- 1/2 cup of quinoa
- 1 cup of roasted asparagus
Thursday Meal Plan:
Breakfast:
- 1 slice of whole-grain toast with avocado and tomato
Snack:
- 1 medium peach
- 2 tablespoons of sunflower seed butter
Lunch:
- Grilled turkey breast (3 ounces)
- 1/2 cup of white rice
- 1 cup of steamed yellow squash
Snack:
- 1 cup of low-fat yogurt
- 1/4 cup of blueberries
Dinner:
- Grilled white fish (3 ounces)
- 1/2 cup of pasta
- 1 cup of roasted red bell peppers
Friday Meal Plan:
Breakfast:
- 1 bowl of oatmeal with almond milk
- 1/4 cup of dried apricots
- 1 tablespoon of pecans
Snack:
- 1 medium nectarine
Lunch:
- Grilled chicken breast (3 ounces)
- 1/2 cup of brown rice
- 1 cup of steamed zucchini
Snack:
- 1 cup of low-fat cottage cheese
- 1 small whole-grain cracker
Dinner:
- Grilled shrimp (3 ounces)
- 1/2 cup of quinoa
- 1 cup of roasted Brussels sprouts
Saturday Meal Plan:
Breakfast:
- 1 slice of whole-grain toast with peanut butter and banana
Snack:
- 1 medium apple
- 2 tablespoons of almond butter
Lunch:
- Grilled turkey breast (3 ounces)
- 1/2 cup of white rice
- 1 cup of steamed green beans
Snack:
- 1 cup of non-fat milk
- 1 small whole-grain cracker
Dinner:
- Grilled white fish (3 ounces)
- 1/2 cup of pasta
- 1 cup of roasted root vegetables (carrots, turnips, etc.)
Sunday Meal Plan:
Breakfast:
- 1 bowl of cream of wheat
- 1/4 cup of dried cranberries
- 1 tablespoon of walnuts
Snack:
- 1 medium peach
Lunch:
- Grilled chicken breast (3 ounces)
- 1/2 cup of brown rice
- 1 cup of steamed cauliflower
Snack:
- 1 cup of low-fat yogurt
- 1/4 cup of blueberries
Dinner:
- Grilled shrimp (3 ounces)
- 1/2 cup of quinoa
- 1 cup of roasted asparagus
The above meal plan has an estimated daily protein intake of about 48 g which is ideal for kidney patients.
The usual requirement of protein is 0.8 g per kg, which is equal to 48 g in a 60 kg patient.
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