Dietary management of patients with type 2 diabetes and chronic kidney disease: A comprehensive literature review

Comorbid type 2 diabetes mellitus (T2DM) and chronic kidney disease (CKD) pose significant global health challenges, particularly in the Middle East and North Africa region. This review synthesizes current evidence and clinical guidelines to inform dietary management, focusing on macronutrients (carbohydrates, protein, fats), micronutrients (potassium, phosphorus, sodium), and fluid intake. We evaluate culturally adapted strategies for the gulf cooperation council countries, where high rates of T2DM and CKD coincide with dietary practices high in refined carbohydrates and sodium. Key interventions include plant-based protein prioritization, glycemic control through carbohydrate moderation, and heart-healthy fats. Practical considerations for Ramadan fasting and electrolyte management are also discussed.