A patient with Addison’s disease asks a nurse for nutrition and diet advice. Which of the following diet modifications is not recommended?
A. A diet high in grains
B. A diet with adequate caloric intake
C. A high protein diet
D. A restricted sodium diet
Correct Answer: D. A restricted sodium diet
A patient with Addison’s disease requires normal dietary sodium to prevent excess fluid loss. Patients should eat an unrestricted diet. Those with primary adrenal insufficiency (Addison disease) should have ample access to salt because of the salt-wasting that occurs if their condition is untreated. Infants with primary adrenal insufficiency often need 2-4 g of sodium chloride per day.
Option A: A well-balanced diet is the best way to keep the body healthy and to regulate sugar levels. Doctors recommend balancing protein, healthy fats, and high-quality, nutrient-dense carbohydrates.
Option B: High-calorie comfort food reduces symptoms of neuroglycopenia in Addison patients, suggesting that Addison’s disease is associated with a deficit in cerebral energy supply that can partly be alleviated by intake of palatable food.
Option C: Healthy fats and high-quality proteins slow the blood sugar rollercoaster and promote stable blood sugar levels throughout the day.