Prior to dialysis most diabetic patients will have followed a diet that attempted to balance their carbohydrate intake with other aspects of their diabetes management. Many will already be on a diet that is low in phosphate and potassium and some will also be on a low-protein diet. Prior to dialysis, nutritional intake is usually inadequate with most patients having a negative energy balance (18). Intensive dietetic counselling is required for all patients starting dialysis to help them improve their dietary intake within the constraints of the combined diabetic/renal diet.
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All you need is a proper diet of fresh fruits and vegetables and get plenty of exercise and you'll be fine. Ever heard those words from your doctor? If that's all heshe recommends then you're missing out an important ingredient for health that he's not telling you. Fact is that you can adhere to the strictest diet, watch everything you eat and get the exercise of amarathon runner and still come down with diabetic complications. Diet, exercise and standard drug treatments simply aren't enough to help keep your diabetes under control.