1. Joe, a 40-year-old, has just been diagnosed with kidney stones. His mother and aunt also had kidney stones. When questioned about his dietary intake, Joe seems surprised, asking what that has to do with kidney stones. A review of his diet and supplement intake reveals that Joe does not drink many fluids during the day because his job limits his access to beverages. His dietary intake includes a high percentage of protein because he believes meats help maintain muscle mass. He consumes few foods that contain calcium and tends to eat snack and processed foods that are salty. In addition to his beliefs about protein, he believes that vitamin C keeps him from developing colds, so every day he ingests 1500 mg of vitamin C. What general dietary advice should be discussed with Joe to reduce his risk of developing future stones?
2. Renee developed type 1 diabetes mellitus (T1DM) when she was 12 years old. She is now 25 years old, and she and her husband are considering having children. Her diabetes is mostly well controlled using intensive therapy, but she is concerned about becoming pregnant. How will Renee need to adapt her diabetes self-care?
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Kidney stone disease appears to be chronic and recurrent.Basic cause is unknown,but many predisposing risk factors have been found to be involved with calcium,protein,and sodium,with sodium mostly in th form of dietry salt receiving the most attention.Although basic cause of kidney stones remains unknown,many factors contribute directly to their formation.These factors relate to the nature of the urine itself or to conditions of urinary tract environment.According to the concentration of urinary constituents,major stones formed are calcium stones,struvite stones,uric acid stones and cystine stones.Joe need to change the way he eat,he need to start eating calcium rich diet that is low in salt and animal protein significantly reduces recurrence of kidney stones in men
ReplyDeleteShe need to monitor her blood sugar regularly and eat right.And she will need to receive nutrition counseling by a registered dietitian when possible.And exercise regularly.
ReplyDeleteThe general dietary advise I would discuss with Joe would be: Drink lots of fluids, continue to consume dairy products rich in calcium, Limit animal sources of protein, cut back on sodium, eat more foods high in potassium and exercise
ReplyDeleteI would advise her to check with her doctor for specific guidance right away. Maintaining excellent blood glucose control is critical to forming a healthy fetus, especially in the first 12 weeks of pregnancy.
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