Peritoneal Dialysis in Diabetics: There Is Room for More

End stage renal disease diabetic patients suffer from worse clinical outcomes under dialysis-independently of modality. Peritoneal dialysis offers them the advantages of home therapy while sparing their frail vascular capital and preserving residual renal function. Other benefits and potential risks...

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Bibliographic Details
Published inInternational Journal of Nephrology Vol. 2011; no. 2011; pp. 840 - 849
Main Authors Cotovio, P., Rocha, A., Rodrigues, Anabela
Format Journal Article
LanguageEnglish
Published Cairo, Egypt Hindawi Limiteds 01.01.2011
Hindawi Puplishing Corporation
SAGE-Hindawi Access to Research
Hindawi Limited
Subjects
Review
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Summary:End stage renal disease diabetic patients suffer from worse clinical outcomes under dialysis-independently of modality. Peritoneal dialysis offers them the advantages of home therapy while sparing their frail vascular capital and preserving residual renal function. Other benefits and potential risks deserve discussion. Predialysis intervention with early nephrology referral, patient education, and multidisciplinary support are recommended. Skilled and updated peritoneal dialysis protocols must be prescribed to assure better survival. Optimized volume control, glucose-sparing peritoneal dialysis regimens, and elective use of icodextrin are key therapy strategies. Nutritional evaluation and support, preferential use of low-glucose degradation products solutions, and prescription of renin-angiotensin-aldosterone system acting drugs should also be part of the panel to improve diabetic care under peritoneal dialysis.
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Academic Editor: Olof Heimburger
ISSN:2090-2158
2090-214X
2090-2158
DOI:10.4061/2011/914849