In diabetes, diabetic nephropathy follows a predictable course from the onset of diabetes to the onset of microalbuminuria, through frank nephropathy to end-stage renal failure or death. Microalbuminuria - after the onset of diabetes. Without treatment, clinical nephropathy follows for years and azotemia develops ∼. Chronic kidney disease affects chronic kidney disease. of the global population and is often underestimated by patients and clinicians. 1- by a glomerular filtration rate GFR less than mL min 1.73, albuminuria of at mg hours or markers of renal damage, for example hematuria or structural, editor's notes. The goal of dietary therapy for CKD is to maintain good nutritional status, slow the progression of CKD, and treat complications. Key elements of diet to slow the progression of chronic kidney disease include: controlling blood pressure by reducing sodium intake, reducing protein intake if excessive, and managing diabetes . As dietetic professionals,