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DIETARY REQUIREMENTS FOR CKD AND ESRD - Coggle Diagram
DIETARY REQUIREMENTS FOR CKD AND ESRD
PROTEIN
KDOQI 2020
✔️ Diabetes
✘ Dialysis
CKD 3-5
0.6 - 0.8 g/kg
✘ Diabetes
✔ Dialysis
CKD 5D + metabolically stable
1.0 - 1.2 g/kg
✘ Diabetes
✘ Dialysis
0.55 - 0.60 g/kg
0.28 - 0.43 + keto AA analogs
CKD 3-5 + metabolically stable
✔ Diabetes
✔ Dialysis
CKD 5D
1.0 - 1.2 g/kg
At risk of hyper and/or hypoglycemia need higher protein to maintain glycemic control
CPG CKD
VLPD with keto -acid supplementation
Patients with non-CKD
Stage 4-5 (pre-dialysis)
Low protein diet
0.6 - 0.8 g/kg
DKD
0.8 g/kg
Non-DKD
0.6-0.8 g/kg
CKD 3-5
HENRY FORD HEALTH SYSTEM
CKD Stage 4
0.6-0.8 g/kg
CKD Stage 5
0.6-0.8 g/kg
CKD Stage 3
0.75 g/kg
MNT CKD
Hemodialysis
1.20 g/kg BW
1.30 g/kg
Acute illness
Increase intensity of dialysate
Severe malnourished
CAPD
1.20-1.30 g/kg BW
Stage 3-4
0.60 g/kg BW
0.75 g/kg BW (severe malnourished)
Stage 1-2
0.8 g/kg BW
ENERGY
KDOQI 2020
CKD 1-5 or transplantation
Metabolically stable
25-35 kcal/kg BW
HENRY FORD HEALTH SYSTEM
Stage 4
30-35 kcal/kg
Stage 5
Pre-dietitian
Stage 3
30-35 kcal/kg
MNT CKD
30-35 kcal/kg BW (>60 years old)
35 kcal/kg BW (<60 years old)
CKD stage 1-4, HD and CAPD
SODIUM
Stage 1-4
< 2.4 g/d
HD & CAPD
2 – 3 g/d
FLUIDS
HD
750-1000 ml/d
CAPD
<1500 ml/d
Stage 1-4
No restriction
POTASSIUM
Stage 1-4
No restriction
(unless potassium level elevated)
HD
2 – 3 g/d
CAPD
3 – 4 g/d
PHOSPHATE
No restriction (unless phosphate level elevated)
800 – 1000 mg/d
CALCIUM
Stage 3-4 & HD
<1500 mg/ d + calcium-based phosphate binder
CAPD
<2000 mg/d + diet + binder
Stage 1-2
Meet RNI
CARBOHYDRATE
50%-60% of energy intake
Diabetic patients=diabetic guidelines