Recent Tendency of Nutritional Standard for Diabetes Mellitus with Chronic Kidney Disease (CKD) and Arteriosclerotic Cardiovascular Disease (ASCVD)

Ministry of Health, Labor and Welfare, Japan proposed new edition of standard nutritional guideline. Target BMI is 20-24.9 for 50-64 years, and 21.5-24.9 for >65 years. Japanese Elderly Diabetes Intervention Trial (J-EDIT) study reported U-shaped association between BMI and mortality, and elevated mortality in elderly with energy intake below 30 kcal/kg/day. American Diabetes Association (ADA) showed consensus report that i) weight can be reduced by 5% as immediate goal, ii) various eating patterns can be applied such as low carbohydrate diet (LCD). Patients with diabetes and chronic kidney disease (CKD) cannot decide ideal intake amount of protein and salt.

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