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我今年58岁,患糖尿病有23年了,血糖控制得比较好,我身高1.62米,体重100斤。读了吕教授的文章《早期糖尿病肾病的营养治疗》后,有几个问题想请教:(1)我是否算消瘦型?(2)我在1997年检查出尿微量蛋白排泄率为38微克/分钟,经过输液治疗,下降为8微克/分钟,确诊为糖尿病合并肾病(三期),并且血脂高(经过用药,现已正常)。我的饮食该如何定义总热量,饮食如何安排?(3)我今年查出患了甲状腺功能低减,该如何注意饮食?
I am 58 years old and have diabetes for 23 years. My blood glucose control is better. I am 1.62 meters tall and weigh 100 pounds. After reading Professor Lu’s article, “Nutritional Therapy for Early Diabetic Nephropathy,” I would like to ask a few questions: (1) Am I losing weight? (2) I checked out urinary microalbuminuria in 1997 to 38 μg / Min, after transfusion therapy, down to 8 micrograms / minute, diagnosed with diabetic nephropathy (phase III), and high blood lipids (after medication, is now normal). How to define my diet total calories, how to arrange meals? (3) I was diagnosed with hypothyroidism this year, how to pay attention to diet?