Diabetes dietary recommendations for preventing complications by american association of clinical endocrinologists


 * Associate Editor(s)-In-Chief: Priyamvada Singh, M.B.B.S. [mailto:psingh@perfuse.org];

Overview
==American association of clinical endocrinologists - Nutritional interventions for preventing and managing diabetes complications (DO NOT EDIT)  == {{cquote|

Nutrition and Diabetes

 * Dietary modification to achieve target ranges for glucose, lipids, and blood pressure is a tertiary preventive strategy for the complications of diabetes mellitus (grade A).
 * Restrict the following in patients with CKD: sodium, 1.5 to 2.4 g/d; phosphate, 800 to 1000 mg/d (stages 3 to 5); potassium, 2 to 3 g/d (stage 5 on hemodialysis) and 3 to 4 g/d (stage 5 on peritoneal dialysis); and protein, 0.8 g/d (stages 1 to 2), 0.6 g/d (stages 3 to 4), 1.2 g/d (stage 5 on hemodialysis), and 1.3 g/d (stage 5 on peritoneal dialysis) (grade A).
 * For optimal nitrogen retention, prescribe 1 daily multivitamin and a diet with adequate protein for patients with diabetes mellitus who have nonhealing wounds; consider additional micronutrients such as zinc and oral vitamins C and A depending on the severity of the wounds and the nutritional status of the patient (grade D).

Special Populations
Patients with CKD require special attention to diet, including restrictions of sodium, phosphate (renal failure stages 3-5), potassium, and protein. Patients with diabetes mellitus who have nonhealing wounds should take 1 daily multivitamin and adequate protein for optimal nitrogen retention; additional micronutrients, such as zinc and oral vitamins C and A, can be considered depending on the severity of the wounds and the nutritional status of the patient.

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