Diabetes Research: Open Access
Article Type: Editorial
Diab Res Open Access. 2021 Jun 10;3(2):30-32
1Medical Research/Tokushima University, Tokushima, Japan
2Japan Low Carbohydrate Diet Promotion Association (JLCDPA), Kyoto, Japan
Corresponding Author: Hiroshi BANDO, MD, PhD, FACP ORCID iD
Address: Tokushima University /Medical Research, Nakashowa 1-61, Tokushima 770-0943, Japan.
Received date: 17 September 2021; Accepted date: 22 October 2021; Published date: 28 October 2021
Citation: Bando H. Recent Tendency of Nutritional Standard for Diabetes Mellitus with Chronic Kidney Disease (CKD) and Arteriosclerotic Cardiovascular Disease (ASCVD). Diab Res Open Access. 2021 Oct 28;3(2):33-37.
Copyright © 2021 Bando H. This is an open-access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Keywords: Ministry of Health, Labor and Welfare Japan, Japanese Elderly Diabetes Intervention Trial (J-EDIT), Low Carbohydrate Diet (LCD), Chronic Kidney Disease (CKD)
Abbreviations: J-EDIT: Japanese Elderly Diabetes Intervention Trial; LCD: Low Carbohydrate Diet; CKD: Chronic Kidney Disease
Ministry of Health, Labor and Welfare, Japan proposed new edition of standard nutritional guideline. Target BMI is 20-24.9 for 50-64 years, and 21.5-24.9 for >65 years. Japanese Elderly Diabetes Intervention Trial (J-EDIT) study reported U-shaped association between BMI and mortality, and elevated mortality in elderly with energy intake below 30 kcal/kg/day. American Diabetes Association (ADA) showed consensus report that i) weight can be reduced by 5% as immediate goal, ii) various eating patterns can be applied such as low carbohydrate diet (LCD). Patients with diabetes and chronic kidney disease (CKD) cannot decide ideal intake amount of protein and salt.