Secondary hyperparathyroidism

Individual advice depends upon the underlying medical condition; all factors affecting the disease process should be addressed. This often includes adherence to special medical or physical therapies or diets. In patients with kidney disease, close adherence to medication regimens to control hypertension and diabetes mellitus is especially important. Dietician involvement is crucial for appropriate advice on a low phosphate diet that does not inadvertently lead to malnutrition. Risk factors for vascular disease such as smoking should be strongly discouraged.