Table 2 Flow chart for Lifestyle and dietary modification (Cited with permission from the Japanese Society of Nephrology)

1^st Round

1) Obtain good rapport with patient

2) Make a checklist for individual patient

3) Clear the priority (What is the category in the checklist?)

For: Protein restriction, Salt restriction

Use the manual of Guidance (30 min in each guidance)

For: Weight control, Hypertension, Hyperglycemia

Hyperkalemia, Smoking cessation, Hyperlipidemia, Hyperuricemia, Use algorithm (30 min in each guidance)

2^nd Round: If not satisfactory, repeat the guidance again

If the first priority was successful, then try second

3rd Round: If not satisfactory, repeat the guidance again (Continue counselling)

If the second priority was not-successful, then repeat the guidance again