Monday, June 15, 2015

Dialysis Treatment Takes Toll on Diabetic Foot Care

For people with diabetes, kidney problems are usually picked up during a check-up by their doctor. Occasionally, a person can have type 2 diabetes without knowing it. This means their unchecked high blood sugar levels may be slowly damaging their kidneys.

Dialysis is a miserable existence. It basically keeps you alive while you’re waiting for the best treatment, and the best treatment is a kidney transplant. The best treatment of all is prevention, but once you get to this stage, the best treatment is a kidney transplant. When you’re on dialysis, this takes over your life, and you may forget, because you’ve got no sensory symptoms, that you’ve got high-risk feet,” Andrew Boulton, MD, professor of medicine at the University of Manchester, UK, said during a presentation in March at the Diabetic Foot Global Conference (DFCon) in Los Angeles.

In addition, the increased transport of small molecules and proteins by the peritoneal membrane in diabetic patients adds the further problems of ultrafiltration deficit and malnutrition. The present article reviews pertinent evidence toward establishing the best strategy for the care of diabetic PD patients. With better glycemic control, improved nutrition, improved fluid balance, and optimal preservation of residual renal function, there is hope for improving the survival of diabetic PD patients.

As kidney disease progresses, a person’s appetite usually falls and blood sugar levels frequently become lower. It is not unusual that a person with diabetes may need to reduce the dosing of diabetes medicines to prevent excessively low glucose levels.

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