J Korean Diabetes.  2013 Mar;14(1):27-31.

Diet Therapy in Patients of Diabetic Nephropathy

  • 1Asan Medical Center, Dietetics and Nutrition Service Team, Seoul, Korea. attkjy@hotmail.com


Diabetes Mellitus is a chronic disease with a rising prevalence worldwide. Diet therapy for type 2 Diabetes Mellitus (T2DM) recommends a balanced diet, while that for diabetic nephropathy differs in every stage of kidney disease because of some foods' potential to affect kidney damage. Medical nutrition therapy for early diabetic nephropathy (once microalbuminuria is detected) is focused on controlling weight and blood sugar, and reducing sodium intake. Medical nutrition therapy in late diabetic nephropathy (after proteinuria is detected) is focused on controlling weight and blood sugar, reducing sodium intake, and also focuses on protein restriction to address decreasing proteinuria. It is important to closely follow therapeutic diet guidelines established through individualized medical nutrition therapy by a registered dietitian, as dietetic therapy for diabetic nephropathy differs according to kidney function and individual health.


Type 2 diabetes mellitus; Diabetic nephropathies; Diet therapy; Medical nutrition therapy
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