Comment on Oosterwijk et al. High-Normal Protein Intake Is Not Associated With Faster Renal Function Deterioration in Patients With Type 2 Diabetes: A Prospective Analysis in the DIALECT Cohort. Diabetes Care 2022;45:35 –41

In their outstanding report, Oosterwijk et al. (1) show that renal outcome is superior in patients with diabetes fed on a high-protein diet compared with that of patients subjected to normal or low-protein diet. These unforeseen and surprising findings contradict our common practice, as for decades, low-protein diet has been recommended especially for patients with chronic kidney disease (CKD), a strategy aimed at slowing its progression. Protein intake as low as 20 g per day (such as Kempner rice diet) was initially recommended, but presently a better tolerated diet containing 0.7 to 0.8 g of full protein per 1 kg of body weight is widely considered for patients with advanced CKD.
Source: Diabetes Care - Category: Endocrinology Source Type: research