Nutritional challenges of a dual diagnosis: Chronic kidney disease and diabetes

Abstract

People with diabetes strive to keep blood glucose, blood pressure, and blood lipids within desirable ranges to prevent long-term complications such as chronic kidney disease. Once that complication has occurred, however, nutritional management becomes even more complex. The National Kidney Foundation has addressed "diabetic kidney disease" in recent guidelines. This article summarizes some of the nutritional strategies to prevent or delay progression to kidney failure.