| [ Summary ] |
In the nutritional management for diabetic dialysis patients, two diseases, diabetes mellitus and chronic renal failure, should be taken into consideration. Dietary treatment is prescribed for each patient, based on the guidelines of the Japanese Society of Nephrology. Adequate instruction on intake, of carbohydrates in terms of both quantity and quality, as well as fats and protein, and salt, water, potassium, calcium and phosphats should be given to patients.
Malnutrition is more common in diabetics than in non-diabetics receiving dialysis, and major contributing factor to malnutrition in diabetic dialysis patients is an insufficient dietary intake caused by a delay of gastric emptying due to diabetic autonomic neuropathy and a decrease in volition and independency due to advanced age and cerebral arteriosclerosis. To prevent malnutrition in these patients, nutritional management aimed toward a healthy diet for dialysis patients should be instituted. |