To reduce complications of diabetes, the nurse teaches a client with normal kidney function to modify intake of which nutritional group?
a. Fats
b. Fiber
c. Proteins
d. Carbohydrates
A
Diabetes causes abnormalities in fat metabolism that lead to hyperlipidemia. The high lipid levels can lead to atherosclerosis and to many pathologic consequences of vascular insufficiency. Specific fat recommendations can be made by the registered dietitian according to individual client factors, but reducing fat intake is healthy for all diabetic people. The client with renal in-sufficiency may need to limit protein. Fiber should be increased do 25 to 30 g/day, and intake of carbohydrates must be spread out throughout the day.
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