Diabetes Comprehensive Care Program, St Michael's Hospital, Toronto, Ontario, Canada.
Can J Diabetes. 2014 Oct;38(5):344-8. doi: 10.1016/j.jcjd.2014.07.222. Epub 2014 Sep 4.
The prevention and treatment of chronic kidney disease (CKD) in diabetes through diet and lifestyle have been a topic of much interest over the years. Consideration of the type and amount of carbohydrate, protein and fat is required for optimal blood glucose control, for clinical outcomes related to renal function and for consideration of risk reduction for cardiovascular disease. Controversy has existed regarding the clinical significance of a protein-controlled diet, not to mention the ideal recommended intake in view of the benefits and risks. Furthermore, the level of CKD with which to implement dietary changes should also be considered. This review seeks to provide guidance and clarity concerning the nutritional management of CKD in diabetes.
多年来，通过饮食和生活方式预防和治疗糖尿病慢性肾病（CKD）一直是人们关注的焦点。为了实现最佳血糖控制、与肾功能相关的临床结果，并考虑降低心血管疾病风险，需要考虑碳水化合物、蛋白质和脂肪的类型和数量。关于蛋白质控制饮食的临床意义一直存在争议，更不用说考虑到益处和风险时理想的推荐摄入量了。此外，还应考虑实施饮食改变的 CKD 程度。本综述旨在为糖尿病患者的 CKD 营养管理提供指导和明确性。
