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