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Saturday, July 19, 2008 muks asks

Q: is salt restriction must in a diabetic nonhypertensive coronary patient?

a 54 yr old male patient whose bp is normally below normal.diabetic ,controled.lipids in normalrange.can he take normal qantity of salt in his diet or to be restricted moderatey or drastically?

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Martin Cane, M.D., Health Pro
7/22/08 10:16pm

 

muks,

 

Thanks for your question.  Doctors usually ask their cardiac patients to follow a low salt diet, even if their blood pressure is normalized.  Salt generally causes some degree of fluid retention which also represents a larger volume of circulating blood.  This is usually handled by most people without a problem, but in patients with heart disease, this could pose an added strain or workload on the heart.  We always try to reduce the workload. 

 

As to how much salt restriction, I would recommend about a two gram (2000 milligrams) sodium diet.  Sodium is one half of the salt molecule, with the other half being chloride.  Sodium is the actual culprit, and is a major factor in fluid management within our bodies.  One teaspoon of salt equals 2300 mg of sodium, so 2000 mg would be about three quarters of a teaspoon.  When purchasing packaged foods, check the nutritional information on the label which lists the salt content as sodium in milligrams. 

 

I hope this has been helpful.

 

Martin Cane, M.D.

 

 

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By muks— Last Modified: 11/17/10, First Published: 07/19/08