ABSTRACT

Just as nutrition is a cornerstone of treatment for many diseases, including diabetes and obesity, diet is paramount in the treatment of all stages of chronic kidney disease (CKD). When the glomerular ”ltration rate is 10% or less than the normal rate (90-120 mL/min/1.73m2), a patient is considered to be in end-stage renal disease (ESRD; KDOQI™ Guidelines, 2002). Dialysis is needed to replace diminished kidney function. Some patients in end-stage renal failure receive kidney transplants. This restores kidney function, and the patient is able to return to a more normal diet (Figure 10.1).