Diabetes is the leading cause of kidney failure in Australia. In this podcast, DC’s Jane Winter chats to Anne-Marie Desai, a clinical specialist dietitian who has worked in the area of kidney nutrition for over 20 years. We delve into protein and energy requirements, potassium and phosphate basics, the importance of glycaemic control and a relatively new concept called NEAP (Net Endogenous Acid Production). In just 40 minutes, you’ll gain confidence in interpreting biochemistry and determining which of your clients with diabetes would benefit from dietary modification to slow their progression to kidney failure.
Anne-Marie Desai is a clinical specialist dietitian who has worked in the area of kidney nutrition for over 20 years and is highly regarded as a skilled clinician and educator. Anne-Marie gained expertise in all aspects of kidney nutrition care through training at the Royal Melbourne Hospital and Eastern Health. She has also undertaken further training in the United States where she worked with leading kidney physicians at Tufts Medical Center in Boston. Anne-Marie is currently employed at the Royal Melbourne Hospital as a senior dietitian and also consults to Fresenius Kidney Care Malvern, B Braun Renal Care North Melbourne and through her private practice, Melbourne Kidney Nutrition.
In this episode, we discuss:
- What is chronic kidney disease (CKD)?
- The importance of glycaemic control for people with CKD and diabetes
- Dietary interventions around protein for patients with CKD
- Using oral nutritional supplements for CKD patients
- What is NEAP and why is it important?
- The risk of malnutrition in later stages of CKD
- Tips for dietitians looking to upskill in renal nutrition
ANZDATA – Dialysis and Kidney Transplantation in Australia 2019 summary
ANZDATA – Incidence of End Stage Kidney Disease
KDOQI Clinical Practice Guideline for Nutrition in CKD
Patient Booklet: Nutrition for people with kidney disease with or without dialysis
Nepro HP (high protein) nutritional information
Nepro LP (lower protein) nutritional information
Nepro HP (high protein) recipe book
Nepro LP (lower protein) recipe book
Find patient resources at: Nutrition Education Materials Online (NEMO)
Kidney Health Australia. 2020. CKD Management handbook | Kidney Health Australia. [online] Available at: <https://kidney.org.au/health-professionals/ckd-management-handbook>.
Australian Bureau of Statistics. 2013. Australian Health Survey: Biomedical Results for Chronic Diseases, 2011-12 financial year. [online] Available at: <https://www.abs.gov.au/statistics/health/health-conditions-and-risks/australian-health-survey-biomedical-results-chronic-diseases/latest-release>.
Thomas, M.C., Weekes, A.J., Broadley, O.J., Cooper, M.E. and Mathew, T.H., 2006. The burden of chronic kidney disease in Australian patients with type 2 diabetes (the NEFRON study). Medical journal of Australia, 185(3), pp.140-144.
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