Investigation of diet and nutritional metabolism in patients with type 2 diabetic nephropathy and relationship with renal injury
10.3969/j.issn.1006-2483.2026.01.038
- VernacularTitle:2型糖尿病肾病患者饮食营养代谢调查及与肾损伤的关系
- Author:
Lingyu WANG
1
;
Wenjing PENG
1
;
Lei LU
1
Author Information
1. Department of Nutrition, Three-Six-Three Hospital, Chengdu, Sichuan 610041, China
- Publication Type:Journal Article
- Keywords:
Diabetic nephropathy;
Dietary structure;
Nutritional metabolism;
Renal injury;
Correlation analysis
- From:
Journal of Public Health and Preventive Medicine
2026;37(1):175-178
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the dietary structure and nutritional metabolism indicators in patients with type 2 diabetic nephropathy and to analyze the relationship with renal injury. Methods From January 2022 to February 2024, 296 patients with type 2 diabetic nephropathy were included in the hospital for investigation. According to the measurement results of 24h urinary protein quantification, these patients were divided into mild, moderate and severe renal injury groups. The diet, nutritional metabolism and renal injury indicators were compared, and the correlation was analyzed. Results The total energy intake, protein, fat and carbohydrate energy supply ratio were decreased with the aggravation of renal injury while the levels of hemoglobin (Hgb), total protein (TP), globulin (GLB), albumin (ALB), triglyceride (TG) and high density lipoprotein cholesterol (HDL-C) were enhanced (P<0.05), and the total cholesterol (TC) and low density lipoprotein cholesterol (LDL-C) were manifested as severe injury group>moderate injury group>mild injury group (P<0.05). Total intake, carbohydrate energy supply ratio, Hgb, TP, GLB, ALB, TG and HDL-C were positively correlated with 24h urinary protein quantification, and the other indicators were negatively correlated with 24h urinary protein quantification (P<0.05). Conclusion The patients with type 2 diabetic nephropathy generally have unreasonable dietary structure and poor nutritional metabolism, both of which are associated with the degree of renal injury. It is recommended to strengthen the diet management, optimize the energy supply ratio, monitor the biochemical indicators and adjust the treatment regimen.
