Diabetic patients are often affected by comorbid conditions that influence clinical outcome. Taking care of diabetic peritoneal dialysis (PD) patients is a challenge for nephrologists, not only because these patients have more complications and comorbidities, but also because of their difficulties in maintaining glycemic control with the use of current glucose-containing dialysis solutions.
Diabetes is the most common cause of kidney failure, accounting for nearly 44 percent of new cases. Even when diabetes is controlled, the disease can lead to CKD and kidney failure. Most people with diabetes do not develop CKD that is severe enough to progress to kidney failure. Nearly 24 million people in the United States have diabetes, and nearly 180,000 people are living with kidney failure as a result of diabetes. People with kidney failure undergo either dialysis, an artificial blood-cleaning process, or transplantation to receive a healthy kidney from a donor. Most U.S. citizens who develop kidney failure are eligible for federally funded care. In 2005, care for patients with kidney failure cost the United States nearly $32 billion.
Diabetes mellitus is the leading cause of end-stage renal disease (ESRD) in many countries. Compared with nondiabetic patients, patients with diabetes generally have poorer survival because of a higher incidence of complications and comorbidities. Strategies for managing diabetic patients on peritoneal dialysis (PD) include proper control of glycemia, ultrafiltration, blood pressure, and metabolic status. In addition, prevention of cardiovascular complications, nutrition optimization, and preservation of residual renal function (RRF) are also important.
Unfortunately, these interventions do not always prevent kidney failure, and approximately 40% of people on dialysis have diabetes as the cause. If a person with diabetes has kidney disease requiring dialysis, the very best option is to get a kidney transplant. However, since getting a transplant usually takes several years and not everyone is able to get one, most people will need to decide between hemodialysis and peritoneal dialysis (PD). In addition to the type of dialysis, a person will choose whether to have dialysis in a dialysis center or perform dialysis at home.
kidneyhospitalabroad@hotmail.com
Diabetes is the most common cause of kidney failure, accounting for nearly 44 percent of new cases. Even when diabetes is controlled, the disease can lead to CKD and kidney failure. Most people with diabetes do not develop CKD that is severe enough to progress to kidney failure. Nearly 24 million people in the United States have diabetes, and nearly 180,000 people are living with kidney failure as a result of diabetes. People with kidney failure undergo either dialysis, an artificial blood-cleaning process, or transplantation to receive a healthy kidney from a donor. Most U.S. citizens who develop kidney failure are eligible for federally funded care. In 2005, care for patients with kidney failure cost the United States nearly $32 billion.
Diabetes mellitus is the leading cause of end-stage renal disease (ESRD) in many countries. Compared with nondiabetic patients, patients with diabetes generally have poorer survival because of a higher incidence of complications and comorbidities. Strategies for managing diabetic patients on peritoneal dialysis (PD) include proper control of glycemia, ultrafiltration, blood pressure, and metabolic status. In addition, prevention of cardiovascular complications, nutrition optimization, and preservation of residual renal function (RRF) are also important.
Unfortunately, these interventions do not always prevent kidney failure, and approximately 40% of people on dialysis have diabetes as the cause. If a person with diabetes has kidney disease requiring dialysis, the very best option is to get a kidney transplant. However, since getting a transplant usually takes several years and not everyone is able to get one, most people will need to decide between hemodialysis and peritoneal dialysis (PD). In addition to the type of dialysis, a person will choose whether to have dialysis in a dialysis center or perform dialysis at home.
kidneyhospitalabroad@hotmail.com
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