About 50% of patients in an ambulatory setting with different stages of renal insufficiency are suitable candidates for protein-restricted diets. This is due to contraindications and, more important, noncompliance of patients. The German health insurance system does not reimburse for dieticians’ consultations. Institution and execution of any diet as well as controls of patients’ adherence are issues of physicians’ work. Protein restriction prescribed varies between 60 and 30 g protein/day. As soon as 40g/day has been reached, supplementation by essential amino acids is started. Metabolic control is confined to evaluations of BUN/creatinine serum concentration and the reciprocal serum creatinine concentration. Patients’ general state of well-being and weight are also followed. For more detailed investigations there is also no reimbursement.

Keywords:
Protein restriction, Renal insufficiency, Private practice
This content is only available via PDF.
© 1989 S. Karger AG, Basel
1989
Copyright / Drug Dosage / Disclaimer
Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher.
Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.
You do not currently have access to this content.