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So Just What Can I Eat? Nutritional Care in Patients
with Diabetes Mellitus and Chronic Kidney Disease
(Vol 36/No. 5. On-line test expires: 10/20/2011)
To receive continuing education credit, you must read the information in this article and take an on-line post test and fill out an on-line program evaluation form. The certificate will then be generated for you as a .pdf file which you can print out locally on your computer.

CE Certification by ANNA requires a handling charge that must be paid by credit card. Pricing information is available by clicking on the "Post-Test Evaluation" link below.
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  AUTHOR
Judith A. Beto, PhD, RD,
 Judith A. Beto, PhD, RD, is a Research Associate, Loyola University Medical Center, Division of Nephrology and Hypertension, Dialysis Unit,Maywood, IL.
Mary Nicholas, MSN, RN,
 Mary Nicholas, MSN, RN, is a Nurse Case Manager, Loyola University Medical Center, Division of Nephrology and Hypertension, Dialysis Unit, Maywood, IL.
  OUTLINE

The balance of nutrition in patients with diabetes mellitus and chronic kidney disease is essential to optimum health outcomes. Multiple nutritional parameters need to be monitored, including energy balance, protein intake (type and amount), mineral control (sodium, potassium, calcium, phosphorus), fluid requirements, and coordination of carbohydrates, to achieve glycemic control in diabetes mellitus. The nephrology nurse benefits by understanding the multiple nutrition parameters required in diabetes mellitus and chronic kidney disease to participate and reinforce the complexities of the daily nutritional challenges in coordination with a registered dietitian. A comprehensive overview of the nutrition parameters in chronic kidney disease and diabetes mellitus is discussed so the question “So just what can I eat?” can be answered with greater confidence.
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  CE RELATED INFORMATION
This offering for 1.4 contact hours is being provided by the American Nephrology Nurses’ Association (ANNA), ANNA is accredited as a provider of continuing nursing education (CNE) by the American Nurses Credentialing Center’s Commission on Accreditation. ANNA is a provider approved by the California Board of Registered Nursing, provider number CEP 00910. This CNE article meets the Nephrology Nursing Certification Commission’s (NNCC’s) continuing nursing education requirements for certification and recertification.

  EDUCATIONAL OBJECTIVES

Goal:
To provide an overview of nutrient goals for patients with diabetes mellitus and chronic kidney disease.

 Objectives:
1. List the four primary nutrient goals in kidney-focused nutrition.
2. List the four specific steps set forth by the American Dietetic Association to describe and monitor nutritional care.
3. Explain how understanding the multiple nutrition parameters required in patients with diabetes mellitus and chronic kidney disease helps nephrology nurses reinforce daily nutritional challenges.
AUTHOR DISCLOSURE STATEMENT
Judith A. Beto, has no conflicts of interest to disclose.
Mary Nicholas, has no conflicts of interest to disclose.


 ANNA and HDCN CE POLICY STATEMENTS

The CE policy and disclosure statements of the American Nephrology Nurses' Association are given in detail on the Symposium Home Page. The CE policy statements of HDCN are listed on this page.