Study on nutritional status in type-2 diabetic patients with chronic kidney disease

Abstract

This study was undertaken to observe the dietary intake of diabetic kidney failure patients from dietary diary and evaluate the nutritional status of diabetic patients with chronic kidney disease by measuring different anthropometric parameters. For this purpose, a total of 125 diabetic patients were included from Chronic Renal Failure (CRF) follow-up program of which 80 belonged to pre dialysis (group-1) and 45 from those on hemodialysis (group-2). Both groups were matched for age, sex and Body Mass Index (BMI). Anthropometric comparisons of skin fold thicknesses showed that group-1. Dietary protein intake was relatively higher in group-2, but lower than recommended level (1.2g/kg/d) during dialysis. The intake of high biological value (HBV) protein was also low in all the subjects. The dietary sodium intake was high and calcium intake was low in both the groups, but potassium and phosphate were adequate. It was found that the diabetic chronic kidney disease patients’ diet is deficient in quality protein, vitamins and calcium intake. It was also found that the dialysis subjects were malnourished as is evidenced from reduced muscle mass and decreased subcutaneous fat distribution. Appropriate nutrition intervention can reduce risk for malnutrition and the morbidity and mortality associated with it. Appropriate supplementations, such as quality protein, calcium, vitamins may help improving their overall nutritional status.