I was wondering what a good rule of thumb macro-nutrient ratio is for patients with diabetes and CKD. What are good ways to reduce protein without increasing carbohydrates too much?

Hello there and thank you for sending in your question!

Patients with diabetes and chronic kidney disease (CKD) are strongly encouraged to work with their health care team on what to eat and drink along with physical activity and medication they may be taking.1,2 The research on the effect of different proportions of macronutrients is controversial, and currently no ideal ratio of macronutrients has been established for those with diabetes or chronic kidney disease.3

Every person has different nutritional needs and can benefit from an individualized eating pattern. It can also be helpful to meet with a registered dietitian who can guide decisions on your overall eating pattern that meets your individual nutritional needs. Unfortunately, I am unable to provide nutrition advice related to medical conditions, such as diabetes and chronic kidney disease, over the internet. If you are seeking more nutritional guidance to treat any existing health conditions, please ask your healthcare provider for a referral to consult with a registered dietitian.

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References:

  1. “Collaborate with a Registered Dietitian.” National Institute of Diabetes and Digestive and Kidney Diseases, U.S. Department of Health and Human Services. Accessed February 25, 2018. www.niddk.nih.gov/health-information/communication-programs/nkdep/identify-manage-patients/manage-ckd/collaborate-registered-dietitian

  2. “Diabetes Diet, Eating, & Physical Activity.” National Institute of Diabetes and Digestive and Kidney Diseases, U.S. Department of Health and Human Services. Reviewed November 2016. Accessed February 25, 2018. www.niddk.nih.gov/health-information/diabetes/overview/diet-eating-physical-activity.

  3. Martin, William F, Lawrence E Armstrong, and Nancy R Rodriguez. “Dietary Protein Intake and Renal Function.” Nutrition & Metabolism 2 (2005): 25. PMC. Web. 25 Feb. 2018.



 

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