"糖尿病、腎臟病的病患面臨早餐食物的兩難"

雖然健康早餐的重要性再怎麼強調都不為過，但是這對有糖尿病和腎臟疾病的人來說通常是個棘手的問題。

台灣腎臟醫學會最近的調查指出，糖尿病和腎臟疾病八成的病患無法壓下病情。主要原因是他們沒能考量進多個飲食限制，包含低蛋白、低鉀、限制鈉和磷的量，尤其是出外用餐的時候。

據說早餐是糖尿病友和腎臟病友最有可能會超標的一餐。稀飯、燒餅和油條都不推薦病友食用，因為它們都含有高升糖指數，也就是說攝取過量的話可能會導致血糖升高。另一方面，儘管燕麥粥和沙拉能幫忙調節血糖指數，但它們也會讓那些有腎臟疾病的人（不論一般或嚴重）增加產生併發症的風險。

建議糖尿病腎病變的病患控制食物攝取，遵循四大守則：低蛋白、低升糖指數、膳食纖維以及適量不飽和脂肪酸。

(Health) Diabetics, Kidney Patients Face Dilemma over Breakfast Foods

While the importance of a healthy breakfast cannot be stressed enough, it is often a tricky problem for people with diabetes and kidney disease.

According to a recent study by the Taiwan Society of Nephrology, 80 percent of those with both diabetes and kidney disease cannot keep the diseases under control. This is mostly due to their inability to take into consideration various diet restrictions, including low protein and potassium and limited sodium and phosphorus, especially when eating out.

It is said that breakfast is the meal with which diabetics and kidney disease patients are most likely to go overboard on. Foods like congee, clay oven rolls and fried breads sticks are not recommended for they all have a high glycemic index, meaning overconsumption can lead blood sugar levels to surge. On the other hand, although oatmeal and salad can help regulate blood sugar, they also increase the risk of developing complications for those with moderate and severe kidney disease.

It has been advised that those with diabetic nephropathy control their food intake by sticking to four principles: food with low protein, low glycemic index, dietary fiber and an appropriate amount of unsaturated fat.

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