Sofia.IISFLORIO

Zeynep59

Fatin59

Asu gamze

Özgün gamze

Ela.Cure

Efsun KAAL

Hatice Sezen

Işıl KFA

 Gabriel.Tamar

Ketevani.Tamar

Denis.Chezan. 

Deniz İrfan

Barbare.Ts

Egehan İsmihan

Vasko SSI

Xandra Flori

Carbohydrate metabolism disorders in CKD patients are associated with insulin resistance and impaired insulin secretion. The kidneys play a vital role in insulin metabolism and clearance. When the glomerular filtration rate (GFR) falls below 40 ml/min, insulin clearance decreases; at GFR levels below 20 ml/min, insulin half-life prolongation is observed. Insulin resistance in CKD is attributed to reduced glucose uptake by muscle cells. Glucose metabolism disorders in CKD patients can partially improve with hemodialysis, indicating the presence of factors in uremic patients' serum that impair insulin’s biological effects and can be removed by dialysis.

In the diet of CKD patients, carbohydrates should provide 55-60% of total energy intake. Bread and grains contain not only carbohydrates but also a certain amount of protein. Sugar, honey, jam, and starch are pure carbohydrate sources. These foods, which serve as a primary energy source, should be included in your diet in amounts recommended by your dietitian.

In the nutritional management of CKD patients, attention should be given to the protein content of carbohydrates. The protein content of carbohydrates (such as bread, pasta, rice, bulgur, and especially legumes) is similar to that of meat. Therefore, when consuming legumes, the amount of meat eaten on that day should be reduced. Additionally, carbohydrate-rich foods constitute a significant portion of daily energy intake and are widely consumed. Bread, pasta, flatbread, pastries, rice, and desserts like honey, molasses, and jam are major sources of carbohydrates. Excessive consumption of these foods is both unhealthy and leads to weight gain.

In conclusion, there is a significant relationship between carbohydrate metabolism and renal impairment. In individuals with kidney disease, carbohydrate intake and metabolism should be closely monitored, and appropriate nutritional plans should be developed.

https://turkjnephrol.org/Content/files/sayilar/405/192-196.pdf

https://dializmerkezi.com/kronik-bobrek-yetmezligi-olan-hastalarda-beslenme.php

https://hsgm.saglik.gov.tr/depo/birimler/saglikli-beslenme-ve-hareketli-hayat-db/Dokumanlar/Kitaplar/Kronik_Bobrek_Yetmezligi_ve_Beslenme.pdf

https://ankara.baskenthastaneleri.com/tr/tani-tedavi-birimlerimiz/beslenme-ve-diyetetik/kronik-bobrek-yetmezligi-ve-diyet-tedavisi

https://www.tbv.com.tr/site/assets/files/4447/985_kronik_bobrek_yetersizliginde_beslenme.pdf

https://www.memorial.com.tr/hastaliklar/bobrek-yetmezligi-belirtileri-nelerdir-nasil-tedavi-edilir

https://www.drnurolarik.com/tr/article/desc/14046/kronik-bobrek-hastaliginda-beslenme.html

https://rumelihospital.com.tr/saglik-rehberi/beslenme-ve-diyet-saglik-rehberi/bobrek-hastaliklarinda-beslenme-nasil-olmali/