Diabetic Kidney Disease
Conditions
Keywords
determine effects of diet on renal and other parameters
Brief summary
The purpose of this study is to determine whether a very low calorie diet will stabilize or improve diabetic kidney disease.
Interventions
medically supervised diet
Sponsors
Study design
Eligibility
Inclusion criteria
* Type 2 Diabetes * Age \> 18 * Body mass index ≥ 30 * Presumed or biopsy-proven diabetic nephropathy * Estimated GFR \< 40 ml/min/1.73 meters squared * Proteinuria \> 0.5 gm/day * Motivated to lose weight * Stable medical co-morbidities * Using an ACE inhibitor or angiotensin receptor blocker agent (unless contraindicated)
Exclusion criteria
* Inability to sign informed consent * Life expectancy of \< 1 year * Expected need for initiation of dialysis within 9 months * Type 1 Diabetes * Recent myocardial infarction or stroke (past 3 months) * Unstable angina * Active cancer * Pregnancy/lactation * Serious psychiatric diseases * Substance abuse * Uncontrolled hypertension (\> 180/110) * Ineligible for VLCD based on laboratory data
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Urinary albumin excretion | 3 months |
Countries
United States