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Nutrition for the diabetic patient with kidney disease
Authors: L. Sobotka; V. Bláha; E. Mistrík; A. Šmahelová; S. Dusilová Sulková
Authors‘ workplace: Klinika gerontologická a metabolická Lékařské fakulty UK a FN Hradec Králové, přednosta prof. MUDr. Luboš Sobotka, CSc.
Published in: Vnitř Lék 2008; 54(5): 475-477
Category:
Předneseno na 9. celostátním diabetologickém sympoziu „Diabetes a urogenitální systém“ ve dnech 1.-2. června 2007 v Novém Adalbertinu v Hradci Králové
Overview
Malnutrition is a major problem in chronically ill patients. The combination of diabetes and renal insufficiency increases the risk of malnutrition, also due to dietary interventions associated with the two diseases. Resulting malnutrition intensifies inflammatory activity and further compromises nutrition intake. This results in a vicious circle which significantly reduces the quality of life of the affected patients and increases their mortality. Proper nutritional care for such patients is an integral part of their treatment.
Key words:
malnutrition – chronic inflammation – diabetes mellitus – renal insufficiency
Sources
1. Clinical Practice Guidelines and Clinical Practice Recommendations for Diabetes and Chronic Kidney Disease. Am J Kidney Diseases 2007; 49: S1-S185.
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4. Kalantar-Zadeh K, Block G, McAllister CJ et al. Appetite and inflammation, nutrition, anemia, and clinical outcome in hemodialysis patients. Am J Clin Nutr 2004; 80 : 299-307.
5. Qureshi AR, Alvestrand A, Divino-Filho JC et al. Inflammation, malnutrition, and cardiac disease as predictors of mortality in hemodialysis patients. J Am Soc Nephrol 2002; 13(Suppl 1): S28-S36.
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7. Pedrini MT, Levey AS, Lau J et al. The effect of dietary protein restriction on the progression of diabetic and nondiabetic renal diseases: a meta-analysis. Ann Intern Med 1996; 124 : 627-632.
8. Druml V. Nutritional support in renal disease. In: Sobotka L (ed). Basic in Clinical Nutrition. Praha: Galén 2004.
9. Cutler JA, Obarzanek E. Nutrition and blood pressure: is protein one link? Toward a strategy of hypertension prevention. Ann Intern Med 2005; 143 : 74-75.
10. Dupertuis YM, Raguso CA, Pichard C. Nutrients which influence immunity - Clinical and experimental data. In: Sobotka L (ed). Basic in Clinical Nutrition. Praha: Galén 2004.
11. Short KR, Vittone JL, Bigelow ML et al. Age and aerobic exercise training effects on whole body and muscle protein metabolism. Am J Physiol Endocrinol Metab 2004; 286: E92-E101.
Labels
Diabetology Endocrinology Internal medicine
Article was published inInternal Medicine
2008 Issue 5-
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