Diet Therapy in Patients of Diabetic Nephropathy.

Kim,  Ji Youn

doi:2013.14.1.27

J Korean Diabetes > Volume 14(1); 2013 > Article

Focused Issue

The Journal of Korean Diabetes 2013;14(1):27-31.
DOI: https://doi.org/10.4093/jkd.2013.14.1.27 Published online March 31, 2013.

당뇨병성 신증의 식사요법

김지연

Diet Therapy in Patients of Diabetic Nephropathy.

Ji Youn Kim

Asan Medical Center, Dietetics and Nutrition Service Team, Seoul, Korea. attkjy@hotmail.com

Abstract

Diabetes Mellitus is a chronic disease with a rising prevalence worldwide. Diet therapy for type 2 Diabetes Mellitus (T2DM) recommends a balanced diet, while that for diabetic nephropathy differs in every stage of kidney disease because of some foods' potential to affect kidney damage. Medical nutrition therapy for early diabetic nephropathy (once microalbuminuria is detected) is focused on controlling weight and blood sugar, and reducing sodium intake. Medical nutrition therapy in late diabetic nephropathy (after proteinuria is detected) is focused on controlling weight and blood sugar, reducing sodium intake, and also focuses on protein restriction to address decreasing proteinuria. It is important to closely follow therapeutic diet guidelines established through individualized medical nutrition therapy by a registered dietitian, as dietetic therapy for diabetic nephropathy differs according to kidney function and individual health.

Key Words: Type 2 diabetes mellitus, Diabetic nephropathies, Diet therapy, Medical nutrition therapy