A Clinical Review on Nutritional Requirements and Assessment for Type 2 Diabetes Mellitus with Chronic Renal Disease

Author(s): Nourhan Khaled Hassan*, Syed Wasif Gillani*, Aisha Abubakr Kaoje, Fatima Mufidah Fari, Hisham Mohammed Elashmouny, Nasiruddin Muhammad Sulayman, Negin Ali Mohammadi

Journal Name: Current Diabetes Reviews

Volume 16 , Issue 9 , 2020


Become EABM
Become Reviewer
Call for Editor

Abstract:

Background: A significant correlation exists between type 2 diabetes mellitus (T2DM) and chronic kidney disease (CKD), where up to 40% of diabetic patients suffer from CKD as a direct result of diabetic complications. The management of diabetes in CKD patients can be challenging due to their need for disease-specific diets, as well as increased risks of complications due to malnutrition, which is why their dietary needs and nutritional requirements require attention to detail, and have to be assessed and tailored according to the patient’s needs.

Objectives: This systematic review aimed to assess nutritional requirements for type 2 diabetes mellitus patients with chronic renal failure.

Methods: In this review, 85 articles were screened, and 22 articles were then analyzed and selected as per the study criteria. PRISMA guidelines were used to select and screen the articles. Data search included a PubMed search using MeSH terms, and a literature review through the Cochrane library and the British Medical Journal.

Results: The study highlighted the important nutrients and minerals needed to be maintained within a specified range in accordance with the patient’s needs and conditions. In addition, dietary restrictions must be set to prevent disease progression and deterioration. Dietary intake in hemodialysis patients must be carefully calculated based on their needs, with tight monitoring of their blood glucose. Protein intake in hemodialysis patients should be determined based on risk-to-benefit ratios.

Conclusion: Dietary requirements should be individualized based on the patient’s disease severity and progression. Assessment of the patient’s previous and current diet, as well as matching it with their dietary requirements and preferences is crucial.

Keywords: Diabetes mellitus, chronic renal failure, chronic kidney disease, nutritional requirements, nutritional recommendations, nutritional assessment.

[1]
Goldstein-Fuchs J, Kalantar-Zadeh K. Nutrition intervention for advanced stages of diabetic kidney disease. Diabetes Spectr 2015; 28(3): 181-6.
[http://dx.doi.org/10.2337/diaspect.28.3.181] [PMID: 26300611]
[2]
Ko GJ, Kalantar-Zadeh K, Goldstein-Fuchs J, Rhee CM. Dietary approaches in the management of diabetic patients with kidney disease. Nutrients 2017; 9(8): 824.
[http://dx.doi.org/10.3390/nu9080824] [PMID: 28758978]
[3]
Yoon CY, Park JT, Jhee JH, et al. High dietary phosphorus density is a risk factor for incident chronic kidney disease development in diabetic subjects: a community-based prospective cohort study. Am J Clin Nutr 2017; 106(1): 311-21.
[http://dx.doi.org/10.3945/ajcn.116.151654] [PMID: 28592606]
[4]
Muras K, Masajtis-Zagajewska A, Nowicki M. Diabetes modifies effect of high-phosphate diet on fibroblast growth factor-23 in chronic kidney disease. J Clin Endocrinol Metab 2013; 98(12): E1901-8.
[http://dx.doi.org/10.1210/jc.2013-2418] [PMID: 24092829]
[5]
Hoffmann MR, Senior PA, Jackson ST, et al. Vitamin D status and bone mineral density is influenced by vitamin D supplementation and vitamin K1 intake in adults with diabetes and chronic kidney disease. Can J Diet Pract Res 2017; 78(1): 11-9.
[http://dx.doi.org/10.3148/cjdpr-2016-023] [PMID: 27779902]
[6]
Feinman RD, Pogozelski WK, Astrup A, et al. Dietary carbohydrate restriction as the first approach in diabetes management: critical review and evidence base. Nutrition 2015; 31(1): 1-13.
[http://dx.doi.org/10.1016/j.nut.2014.06.011] [PMID: 25287761]
[7]
Willingham F. The dietary management of patients with diabetes and renal disease: challenges and practicalities. J Ren Care 2012; 38(Suppl. 1): 40-51.
[http://dx.doi.org/10.1111/j.1755-6686.2012.00283.x] [PMID: 22348363]
[8]
American Diabetes Association. Nutrition recommendations and interventions for diabetes: A position statement of the American Diabetes Association. Diabetes Care 2007; 30(Suppl. 1): S48-65.
[http://dx.doi.org/10.2337/dc07-S048] [PMID: 17192379]
[9]
Westman EC, Yancy WS Jr, Mavropoulos JC, Marquart M, McDuffie JR. The effect of a low-carbohydrate, ketogenic diet versus a low-glycemic index diet on glycemic control in type 2 diabetes mellitus. Nutr Metab (Lond) 2008; 5(1): 36.
[http://dx.doi.org/10.1186/1743-7075-5-36] [PMID: 19099589]
[10]
D’Alessandro C, Barsotti M, Cianchi C, et al. Nutritional Aspects in Diabetic CKD Patients on Tertiary Care. Medicina (Kaunas) 2019; 55(8): 427.
[http://dx.doi.org/10.3390/medicina55080427] [PMID: 31374951]
[11]
Raffaitin C, Lasseur C, Chauveau P, et al. Nutritional status in patients with diabetes and chronic kidney disease: a prospective study. Am J Clin Nutr 2007; 85(1): 96-101.
[http://dx.doi.org/10.1093/ajcn/85.1.96] [PMID: 17209183]
[12]
Smart C, Aslander-van Vliet E, Waldron S. Nutritional management in children and adolescents with diabetes. Pediatr Diabetes 2009; 10(Suppl. 12): 100-17.
[http://dx.doi.org/10.1111/j.1399-5448.2009.00572.x] [PMID: 19754622]
[13]
Kim HY. Nutritional intervention for a patient with diabetic nephropathy. Clin Nutr Res 2014; 3(1): 64-8.
[http://dx.doi.org/10.7762/cnr.2014.3.1.64] [PMID: 24527422]
[14]
Raval AD, Thakker D, Rangoonwala AN, Gor D, Walia R. Vitamin B and its derivatives for diabetic kidney disease. Cochrane Database Syst Rev 2015; 1CD009403
[http://dx.doi.org/10.1002/14651858.CD009403.pub2] [PMID: 25579852]
[15]
Tan SMQ, Chiew Y, Ahmad B, Kadir KA. Tocotrienol-rich vitamin E from palm oil (tocovid) and its effects in diabetes and diabetic nephropathy: A pilot phase ii clinical trial. Nutrients 2018; 10(9)E1315
[http://dx.doi.org/10.3390/nu10091315] [PMID: 30227659]
[16]
Smart CE, Annan F, Bruno LP, Higgins LA, Acerini CL. International Society for Pediatric and Adolescent Diabetes. ISPAD Clinical Practice Consensus Guidelines 2014. Nutritional management in children and adolescents with diabetes. Pediatr Diabetes 2014; 15(S20)(Suppl. 20): 135-53.
[http://dx.doi.org/10.1111/pedi.12175] [PMID: 25182313]
[17]
Cummings DM, Larsen LC, Doherty L, Lea CS, Holbert D. Glycemic control patterns and kidney disease progression among primary care patients with diabetes mellitus. J Am Board Fam Med 2011; 24(4): 391-8.
[http://dx.doi.org/10.3122/jabfm.2011.04.100186] [PMID: 21737763]
[18]
De Cosmo S, Viazzi F, Pacilli A, et al. AMD-Annals Study Group. Serum uric acid and risk of CKD in type 2 diabetes. Clin J Am Soc Nephrol 2015; 10(11): 1921-9.
[http://dx.doi.org/10.2215/CJN.03140315] [PMID: 26342044]
[19]
Jadhakhan F, Marshall T, Ryan R, Gill P. Risk of chronic kidney disease in young adults with impaired glucose tolerance/impaired fasting glucose: a retrospective cohort study using electronic primary care records. BMC Nephrol 2018; 19(1): 42.
[http://dx.doi.org/10.1186/s12882-018-0834-4] [PMID: 29482513]
[20]
Duke SAS, Colagiuri S, Colagiuri R. Individual patient education for people with type 2 diabetes mellitus. Cochrane Database Syst Rev 2009; 1(1)CD005268
[http://dx.doi.org/10.1002/14651858.CD005268.pub2] [PMID: 19160249]
[21]
Taketani Y, Shuto E, Arai H, et al. Advantage of a low glycemic index and low phosphate diet on diabetic nephropathy and aging-related diseases. J Med Invest 2007; 54(3-4): 359-65.
[http://dx.doi.org/10.2152/jmi.54.359] [PMID: 17878688]
[22]
Andrassy KM, Lameire N, Eckardt K, et al. KDIGO 2012 clinical practice guideline for the evaluation and management of chronic kidney disease. Kidney Int 2013; 84(3): 622-3.
[http://dx.doi.org/10.1038/ki.2013.243] [PMID: 23989362]
[23]
Pittas AG, Chung M, Trikalinos T, et al. Systematic review: Vitamin D and cardiometabolic outcomes. Ann Intern Med 2010; 152(5): 307-14.
[http://dx.doi.org/10.7326/0003-4819-152-5-201003020-00009] [PMID: 20194237]
[24]
Jia P, Bao L, Chen H, et al. Risk of low-energy fracture in type 2 diabetes patients: a meta-analysis of observational studies. Osteoporos Int 2017; 28(11): 3113-21.
[http://dx.doi.org/10.1007/s00198-017-4183-0] [PMID: 28795239]
[25]
Picke AK, Campbell G, Napoli N, Hofbauer LC, Rauner M. Update on the impact of type 2 diabetes mellitus on bone metabolism and material properties. Endocr Connect 2019; 8(3): R55-70.
[http://dx.doi.org/10.1530/EC-18-0456] [PMID: 30772871]
[26]
Kramer H, Berns JS, Choi MJ, Martin K, Rocco MV. 25-Hydroxyvitamin D testing and supplementation in CKD: an NKF-KDOQI controversies report. Am J Kidney Dis 2014; 64(4): 499-509.
[http://dx.doi.org/10.1053/j.ajkd.2014.05.018] [PMID: 25082101]
[27]
Kandula P, Dobre M, Schold JD, Schreiber MJ Jr, Mehrotra R, Navaneethan SD. Vitamin D supplementation in chronic kidney disease: A systematic review and meta-analysis of observational studies and randomized controlled trials. Clin J Am Soc Nephrol 2011; 6(1): 50-62.
[http://dx.doi.org/10.2215/CJN.03940510] [PMID: 20876671]
[28]
Sabatino A, Regolisti G, Karupaiah T, et al. Protein-energy wasting and nutritional supplementation in patients with end-stage renal disease on hemodialysis. Clin Nutr 2017; 36(3): 663-71.
[http://dx.doi.org/10.1016/j.clnu.2016.06.007] [PMID: 27371993]
[29]
Dos Santos ALT, Duarte CK, Santos M, et al. Low linolenic and linoleic acid consumption are associated with chronic kidney disease in patients with type 2 diabetes. PLoS One 2018; 13(8)e0195249
[http://dx.doi.org/10.1371/journal.pone.0195249] [PMID: 30092058]
[30]
Kazempour-Ardebili S, Lecamwasam VL, Dassanyake T, et al. Assessing glycemic control in maintenance hemodialysis patients with type 2 diabetes. Diabetes Care 2009; 32(7): 1137-42.
[http://dx.doi.org/10.2337/dc08-1688] [PMID: 19196889]
[31]
Bataille S, Landrier JF, Astier J, et al. Haemodialysis patients with diabetes eat less than those without: A plea for a permissive diet. Nephrology (Carlton) 2017; 22(9): 712-9.
[http://dx.doi.org/10.1111/nep.12837] [PMID: 27287085]
[32]
Finelli C, Sommella L, Gioia S, La Sala N, Tarantino G. Should visceral fat be reduced to increase longevity? Ageing Res Rev 2013; 12(4): 996-1004.
[http://dx.doi.org/10.1016/j.arr.2013.05.007] [PMID: 23764746]
[33]
Kim H, Caulfield LE, Garcia-Larsen V, et al. Plant-based diets and incident CKD and kidney function. Clin J Am Soc Nephrol 2019; 14(5): 682-91.
[http://dx.doi.org/10.2215/CJN.12391018] [PMID: 31023928]
[34]
Barone RJ, Beresan M, Pattin M, et al. Management of type 2 diabetes in patients with chronic kidney disease. Arch Clin Nephrol 2017; 3(1): 53-6.
[http://dx.doi.org/10.17352/acn.000027]


Rights & PermissionsPrintExport Cite as

Article Details

VOLUME: 16
ISSUE: 9
Year: 2020
Page: [922 - 930]
Pages: 9
DOI: 10.2174/1573399816666200211120402
Price: $65

Article Metrics

PDF: 17
HTML: 6
EPUB: 3
PRC: 4