Nutritional counselling for diabetic renal patients

A diabetic patient who develops nephropathy has to cope with two different diets. Healthy food guidelines have to be followed and attention paid to the spread of carbohydrates throughout the day because of the diabetes. Renal failure means that attention also has to be paid to protein, sodium, potassium and fluid intake and the diet can be confusing to patients. When dialysis commences the management of, and attention to the diabetes is sometimes a little forgotten. This article identifies problems and how they may be dealt with.