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Effect of Low Protein Diet in Preventing the Progression of Diabetic Nephropathy

Not Applicable
Terminated
Conditions
Diabetic Nephropathies
Registration Number
NCT00448526
Lead Sponsor
Kanazawa Medical University
Brief Summary

Diabetic nephropathy is the leading cause of chronic kidney disease all the world in spite of progress in new treatment for diabetes and anti hypertensive drugs. Additional treatments are thus needed to arrest the progression of diabetic nephropathy. Although there is insufficient evidence to suggest that a low-protein diet improves renal dysfunction, it is recommended as a mainstay of nutritional management. We here assessed the role of low protein diet in renal function as well as albuminuria in type 2 diabetic patients with nephropathy for a median of 5 years.

Detailed Description

Not available

Recruitment & Eligibility

Status
TERMINATED
Sex
All
Target Recruitment
Not specified
Inclusion Criteria
  • Type 2 diabetes mellitus
  • Urinary protein excretion 1-10 g/day
  • Serum Cr <2.0 mg/dl
  • With diabetic retinopathy > SDR
  • Normal protein intake instruction
  • Patients whose consent is obtained at >20 or age =<65
Exclusion Criteria
  • Type 1 Diabetes Mellitus
  • Non-diabetic nephropathy
  • Urinary tract infection
  • Congestive heart failure
  • Unstable angina
  • Myocardial infarction
  • Stroke
  • Severe hepatopathy
  • Life threatening disease such as malignant tumor
  • Patients on ACE-I and or ARB treatment
  • Patients on instruction of low protein diet
  • BW< 80% of IBW
  • Pregnant, lactating, and probably pregnant patients
  • Patients judged as being inappropriate fir the subjects

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
annual change of GFR
annual change of Ccr
annual change of 1/Cr
time to the doubling of sCr
incidence rate of the doubling of sCr
Secondary Outcome Measures
NameTimeMethod
urinary albumin and protein excretion
% change of urinary albumin and protein excretion from baseline
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