Type 2 & other diabetes

Role of nutritional therapy on dietary habits and glycemic control in insulin-treated kidney transplant patients with diabetes

Diabetes Res Clin PractPublished Controlled intervention study

Authors' conclusion

A proper nutritional approach optimize glycometabolic outcomes and contribute significantly to the reduction of the major cardiovascular risk factors in renal transplant patients.

Study context

Population
Kidney transplant recipients with diabetes on insulin treatment by Multiple Daily Injection (MDI) or Continuous Subcutaneous Insulin Infusion (CSII)
Participants
34 recipients
Comparison
Structured nutritional program vs no nutritional protocol
  • Interventionn = 12
  • Controln = 22reference
Outcome
Glycemic compensation and key cardio-renal risk markers
Follow-up
End of the study
Methodological detailssubgroups by insulin administration method (MDI and CSII)
  • Subgroups by insulin administration method (MDI and CSII)

Main finding

As reported in the abstract

Fasting blood glucose, HbA1c and glycosuria
  • Statistically significant reduction in fasting blood glucose, HbA1c and glycosuria in both groups

Further findings

Total cholesterolemia, glycemic index and dietary intake

Intervention significantly reduced total cholesterolemia and glycemic index, with reduced intake of lipids, cholesterol, soluble carbohydrates and increased consumption of carbohydrates and fiber

Subgroup: CSII

Improvements even more pronounced in patients treated with CSII

Original publication

Role of nutritional therapy on dietary habits and glycemic control in insulin-treated kidney transplant patients with diabetes. Diabetes Res Clin Pract. Published 23 April 2024. doi:10.1016/j.diabres.2024.111680

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