Particularities of peritoneal dialysis in diabetic patients
Diabetes is a major cause of chronic kidney disease worldwide. Managing CKD in diabetic patients is complex due to accumulation of comorbid conditions such as hypertension, cerebrovascular and peripheral artery disease, as well as increased risk of infection and malnutrition. Reaching end-stage kidn...
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| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | Spanish |
| Published: |
Elsevier
2025-06-01
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| Series: | Nefrología |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0211699525000153 |
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| Summary: | Diabetes is a major cause of chronic kidney disease worldwide. Managing CKD in diabetic patients is complex due to accumulation of comorbid conditions such as hypertension, cerebrovascular and peripheral artery disease, as well as increased risk of infection and malnutrition. Reaching end-stage kidney disease, many diabetic patients will choose peritoneal dialysis. This review explores the epidemiology, outcomes, and specific management challenges of diabetic patients undergoing peritoneal dialysis. Literature from PubMed and MEDLINE from 2000 to 2023 was methodically reviewed. In a patient population with increased cardiovascular risk and unique metabolic challenges, the need for individualized treatment strategies in order to improve clinical outcomes is underscored. Resumen: La diabetes es una de las principales causas de enfermedad renal crónica en todo el mundo. El manejo de la enfermedad renal cronica en pacientes diabéticos es complejo debido a la acumulación de condiciones comórbidas como hipertensión, enfermedad cerebrovascular y arterial periférica, así como un mayor riesgo de infección y desnutrición. Al llegar a la etapa terminal de la enfermedad renal, muchos pacientes diabéticos optarán por la diálisis peritoneal. Esta revisión explora los resultados y los desafíos específicos del manejo de los pacientes diabéticos en diálisis peritoneal. Se revisó metódicamente la literatura de PubMed y MEDLINE desde 2000 hasta 2023. En una población de pacientes con mayor riesgo cardiovascular y desafíos metabólicos únicos, se subraya la necesidad de estrategias de tratamiento individualizadas para mejorar los resultados clínicos. |
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| ISSN: | 0211-6995 |