He has a 10-year history of type 2 diabetes. He has a glycated hemoglobin of 8.0%...
He has a 10-year history of type 2 diabetes. He has a glycated hemoglobin of 8.0% and a history of High Blood Pressure with medication for the past 3 years. He is a non-smoker.. He has a BMI of 31. He has recently put himself on a high-protein diet Atkins-type diet.
His weight has dropped by 9 lb, his fasting serum triglyceride level has fallen from 185 to 125 mg/dl, and his blood pressure has decreased slightly. His LDL cholesterol has remained constant. He has stage 1 chronic kidney disease.
After reviewing the information from these websites, answer the following:
- What are the recommendations of the American Heart Association (AHA), the National Kidney Foundation (NKF) and the American Diabetes Association (ADA) regarding this type of high protein diet for diabetes and/or weight loss? Discuss each organization separately.
American Heart Association (AHA) -www.heart.org (Links to an
external site.)Links to an external site.
National Kidney Foundation - www.kidney.org (Links to an external
site.)Links to an external site.
American Diabetes Association - www.diabetes.org (Links to an
external site.)Links to an external site.
Homework Answers
American Heart Association(AHA)
According to AHA , high protien diet is a very useful strategy for weight loss.This diet may not be harmful for many healthy people ,there are no studies proved its long term effect on Diabetes. AHA also states that these type of diets may promote misconception about carbohydrate,insulin resistance,ketosis and fat burning in turn cause weight loss. decreased lipid level and insulin resistance are due to weight loss. AHA not recommends high protien diet because they restrict healthful foods ,that supply essential nutrients leads to impaired nutritional status. Potential cardiac, liver,bone,renal abnormalities , mineral and vitamin deficiency may occur in the individuals who follow these diets.
National Kidney Foundation(NKF)
According to NKF , high protien weight loss diet have a negative impact on kidney as it causes dehydration. Dehydration forces kidney to work harder to clean the toxins from the blood. Moreover high protien diet causes accumulation of nitrogen in the form of urea in the blood. it is recommended that a protien intake of not more than 2 grams of protien per kg body weight in healthy individuals.
American Diabetes Association (ADA)
ADA does not recommend low carbohydrate ketogenic and high protien diet. As it increses the uric acid level and cholesrol level in the blood. This diet is hazardous for the patients with existing kidney or liver disease .Fatigue, nausea and diarrhea also may happen.A well balanced diet is recommended.
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