Penatalaksanaan diet
ABSTRAK
One of the complication of diabetes mellitus is nephropathy diabetic, if this situation is not cured
properly it tends to develop the end stage of renal failure. The objectives of this diet management
in patients with nephropathy diabetic are to reduce progression of renal damage, maintain the
nutritional status of the patient, control blood glucose, lipid serum and maintain electrolyte and
fluid balance. Nutrient requirement of nephropathy diabetic patients should contain: protein 0.8 g/
kg/body weigh/day. But if patients suffered of end stage of renal failure 0.8 g/kg body weigh/day, in
the case of dialysis the protein need is 1-1.2g/kg body weigh/day. For energy requirement they
need 35 kcal/kg body weigh/day, with the carbohydrate 60% from total energy need, fat should be
30% total energy need contain poly unsaturated fatty acid and mono unsaturated fatty acid. For
mineral, natrium (Na) is needed 1000-3000 mg/day, whereas kalium (K) is 40-70 mEq/day (16002800mg/day). In conclusion, diet management is taking an important role to delay the progression
of being end stage renal failure.
Keywords: nefropati diabetik, gagal ganjal terminal
PENDAHULUAN
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Penatalaksanaan diet
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Penatalaksanaan diet
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Contoh Kasus
Seorang pasien wanita berumur 58 tahun
dengan nefropati diabetIk. Tinggi badan 148
cm, berat badan 49 kg dengan edema pada
kaki. Berat badan idealnya 48 kg. Hasil
pemeriksaa laboratorium: Hb = 7,4 mg/dL,
ureum = 186 mg/dL, kreatinin = 3,1 mg/dL,
kolesterol = 286 mg/dL, trigliserida = 182 mg/
dL, asam urat = 9,9 mg/dL, gula darah N =
286, PP = 381 mg/dL, Natrium = 137 mg/dL,
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Penatalaksanaan diet
Kebutuhan
1700
40 g
20-26 g
60 g
253 g
1000 mg
600 mg
1200 mg
384-576 mg
Dasar Perhitungan
35 Kkal / kg BB ideal
0,8 g / kg BB ideal
50-65% dari total protein
30% dari total kalori
59.9 % dari total kalori
Ada udema & acites
Ada hiperkalemia
sesuai anjuran
8 12 mg/kg BB/hari
Menu
Nasi
Telur dadar
Stup buncis
Makanan Selingan
Bubur sagu mutiara
Madu
(Jam 10.00)
Siang
Nasi
Ikan pepes
Sayur asem
Pepaya
Puding maizena
Madu
(Jam 16.00)
Malam
Nasi
Ayam goreng
Capcay cah
Stup nenas
2.
KESIMPULAN
1.
3.
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4.
Penatalaksanaan diet
4.
RUJUKAN
5.
6.
RSCM, 2002.
William E.Mitch, Saulo Klahr. Handbook
of Nutrition and the Kidney. 3 rd edition.
Lippincott-Raven. Philadelphia. New
York 1998.
7.
2.
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