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. 2007 Oct 17;2007(4):CD002181. doi: 10.1002/14651858.CD002181.pub2

Hansen 2002.

Methods RCT. 
 Duration 4 years.
Participants 82 type 1 patients (18‐60 yrs) with diabetic retinopathy, albuminuria >= 300 mg/24 hr. 
 GFR above 20ml/min/1.73 m2 and a pre‐study decline in GFR >=2 ml/min/year (progressive diabetic nephropathy). 
 Mean duration of diabetes LPD 28 years, UPD 27 years.
Interventions LPD = 0.6 g/kg/day. Supplementation of calcium of 500 mg/day (n=38). 
 UPD = patients' pre‐study diet (n=34).
Outcomes GFR. 
 RR of ESRD or death. 
 Malnutrition assessed by mid‐arm circumference, serum albumin and body weight. 
 Compliance monitored by dietary interview and uU. Actual protein intake 0.89 g/kg/day.
Notes Comparable number in both groups received antihypertensives and ACE but +4 at follow‐up on antihypertensive and +4 on ACE. 
 Malnutrition indicators comparable in 2 groups, but data not shown.
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment? Low risk A ‐ Adequate