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Cardio Diabetes Medicine 2017 613

outcome, then dietary advice to compensate for di- tiative (KDOQI) clinical practice guidelines for diabe-
alysate energy by reducing energy from food is sug- tes and CKD recommend a dietary protein intake at
gested. the lower end of the normal range (0.8 g/kg body
weight/day), as an achievable goal for minimising
Advanced CKD progression. Due to possible increased risk
of malnutrition, care should be taken when advising
The optimum level of protein intake in practice would (2)
require a compromise between efficacy and achiev- protein restrictions below 0.8 g/kg body weight
ability of protein restriction in a population who are A higher dietary protein intake(>1.2g/kg of body
already likely to be following other dietary restrictions weight/day)is advised among diabetic end-stage re-
relating to diabetes and CVD. The National Kidney nal disease patients receiving maintenance dialysis
Foundation/Kidney Dialysis Outcomes Quality Ini- to counteract protein catabolism,dialysate aminoacid
(1
and protein losses,and protein-energy wasting Nu-
trients ,2017 (1)

Cardio Diabetes Medicine