AR is a 63-year-old with type 1 diabetes and mild hypertension. Their GFR is 41 mL/min/1.73m² and UACR is 312 mg/g and their BMI is 24. The provider asks you to instruct AR on a low-protein diet, since AR is in stage 3 CKD.
- A. Agree to provide education for AR low protein (0.6 -0.8 g/kg/day) to slow kidney disease progression.
- B. Reframe and suggest protein intake of about 0.8 g/kg/day as supported by ADA guidelines.
- C. Suggest AR eliminates most protein sources and focus primarily on fiber, carbohydrates and fats.
- D. Reinforce that a protein intake of 1.3 g/kg/day is warranted to prevent sarcopenia and maintain muscle mass.
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