| [ Summary ] |
The number of diabetic patients, newly accepted for dialysis, due to end-stage renal disease is increasing rapidly worldwide, therefore, prevention of diabetic nephropathy is now of prime importance. Dietary protein restriction has been recommended for diabetic patients with clinical proteinuria, however, whether a low-protein diet retards the progression of diabetic nephropathy has never elucidated in a randomized multicenter study. After dialysis commencement, intake of total energy, protein, sodium, and potassium, in diabetic patients, must be determined for hemodialysis and peritoneal dialysis. Malnutrition in diabetic patients is closely associated with higher mortality, therefore, nutritional assessment should be determined in individual patients. |