Davis M, Comty C, Shapiro F
J Am Diet Assoc. 1979 Sep;75(3):265-9.
Early experience with the treatment of patients with insulin-dependent diabetes and renal failure by chronic hemodialysis indicated a high mortality and increased incidence of medical complications. Since 1972, a marked improvement in survival and reduction in incidence of complications has been attributed to more rigorous control of fluid overload, hypertension, and blood sugar levels by insulin therapy and careful dietary management. A diet has been developed which combines the diet used by dialysis patients with suitable modifications for the insulin-dependent patient with diabetes. The importance of patient education is stressed in an attempt to improve patient compliance.
早期对胰岛素依赖型糖尿病合并肾衰竭患者进行慢性血液透析治疗的经验表明，其死亡率很高，且医疗并发症的发生率有所增加。自1972年以来，通过胰岛素治疗和精心的饮食管理，对液体超负荷、高血压和血糖水平进行更严格的控制，使得生存率显著提高，并发症的发生率降低。已制定出一种饮食方案，它将透析患者所用的饮食与对胰岛素依赖型糖尿病患者进行适当调整相结合。强调了患者教育的重要性，以试图提高患者的依从性。
