Only qualified professionals may reply to questions. Users do not have to register to post replies to the Issues in Dialysis Forum. If individuals do not accept this diet, then 0.75 g may be prescribed. A low protein diet may retard the progression of renal disease. It is evidence based that the serum albumin is a measure of protein-energy nutritional status, but may also reflect chronic inflammation or other non nutritional causes.
Controversy exists in how to optimize protein and energy intake.
The common goal is to avoid malnutrition in the patients that starts dialysis. Many patients cannot and will not take supplements, nor tolerate a low protein diet, and thus will have low serum albumin levels and malnutrition. There is consensus that these patients should be started on chronic dialysis therapy. In patients close to end stage renal disease, the option of beginning a trial of dietary protein restriction is supported under select conditions. The patient must be on essential amino acid supplements or keto acid supplements.