Submit your picks! | NephMadness 2017 | #NephMadness or #NutritionRegion Selection Committee Member for the Nutrition Region: Kamyar Kalantar-Zadeh Dr. Kalantar-Zadeh, MPH, PhD, is Professor and Ch…
Archivi categoria: CKD
In a study, intact parathyroid hormone levels fell in hemodialysis patients who received treatment for hyperphosphatemia.
Correspondence from The New England Journal of Medicine — Nutritional Management of Chronic Kidney Disease
Chronic kidney disease (CKD) is one of the most prevalent complications of diabetes, and patients with diabetic kidney disease (DKD) have a substantially higher risk of cardiovascular disease and death compared to their non-diabetic CKD counterparts. In addition to pharmacologic management strategies, nutritional and dietary interventions in DKD are an essential aspect of management with the potential for ameliorating kidney function decline and preventing the development of other end-organ complications. Among DKD patients with non-dialysis dependent CKD, expert panels recommend lower dietary protein intake of 0.8 g/kg of body weight/day, while higher dietary protein intake (>1.2 g/kg of body weight/day) is advised among diabetic end-stage renal disease patients receiving maintenance dialysis to counteract protein catabolism, dialysate amino acid and protein losses, and protein-energy wasting. Carbohydrates from sugars should be limited to less than 10% of energy intake, and it is also suggested that higher polyunsaturated and monounsaturated fat consumption in lieu of saturated fatty acids, trans-fat, and cholesterol are associated with more favorable outcomes. While guideline