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Nephrol Dial Transplant (1999) 14: 2577-2579
© 1999 European Renal Association-European Dialysis and Transplant Association

Editorial Comments

Which diet for diabetic patients with chronic renal failure?

Henri Gin1, Vincent Rigalleau1 and Michel Aparicio2

1 Departments of Diabetology Nutrition, 2 Nephrology, Université de Bordeaux II, Bordeaux, France

Correspondence and offprint requests to: Henri Gin, Service Nutrition et Diabétologie, Hôpital du Haut-Lévêque, F-33064 Pessac, France.

Introduction

Moderate or severe protein restriction may be proposed in chronic renal failure both to fight its symptoms and to slow its progression [1,2]. Diabetic patients, whether insulin-dependent or non-insulin-dependent, have a chronic disease that has generally existed for a number of years before the occurrence of renal failure. Dietary protein restriction is effective in the progression of diabetic nephropathy [3–5] but several such patients have already been observing dietary recommendations, usually involving carbohydrates and fats for some time and are sometimes unwilling to give up eating habits acquired over a long period. Furthermore, when renal failure develops, the patient may get the impression that the different specialists managing his health have contradictory objectives and give opposing nutritional advice. It is important for the patient not to imagine that the diabetologist and the nephrologist are giving conflicting . . . [Full Text of this Article]

Nutritional rules for patients with uncomplicated insulin-dependent diabetes

Dietetic rules for non-insulin-dependent diabetic patients

Potential impact of dietary measures on chronic renal failure

What are the potential effects of an increase in the carbohydrate or fat ration in diabetic subject without chronic renal failure?

Conclusions

References


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