CKD dietitians can make a difference--but referrals are the missing link

The best-case scenario would be to have an immediate response to the CKD Stage 1 patient who is showing signs of proteinuria (of course, it is important that the PCP makes sure these tests are done regularly). It has long been know that ace inhibitors and/or angiotensin 2 receptor blockers can reduce proteinuria. If the PCP doesn't do the urinalysis, an opportunity to intervene is lost. The renal dietitian's knowledge and dietary services would best be utilized at Stage 3 CKD. Control of protein may limit the symptoms of uremia. Restriction of phosphorus may aid in the prevention of bone disease that can develop early on in CKD. By partnering with the primary care physician, both renal dietitians, and general practice dietitians, once properly trained, can help to bring CKD under control.