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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| Format: | Article |
| Language: | English |
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Wiley
2011-01-01
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| Series: | International Journal of Nephrology |
| Online Access: | http://dx.doi.org/10.4061/2011/914849 |
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| _version_ | 1832565684076281856 |
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| author | P. Cotovio A. Rocha A. Rodrigues |
| author_facet | P. Cotovio A. Rocha A. Rodrigues |
| author_sort | P. Cotovio |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-e44c5616f4074debbad73237c03c8440 |
| institution | Kabale University |
| issn | 2090-214X 2090-2158 |
| language | English |
| publishDate | 2011-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | International Journal of Nephrology |
| spelling | doaj-art-e44c5616f4074debbad73237c03c84402025-02-03T01:06:57ZengWileyInternational Journal of Nephrology2090-214X2090-21582011-01-01201110.4061/2011/914849914849Peritoneal Dialysis in Diabetics: There Is Room for MoreP. Cotovio0A. Rocha1A. Rodrigues2Nephrology Department, Centro Hospitalar de Coimbra (CHC), Quinta dos Vales, 3041-801 S. Martinho do Bispo, PortugalNephrology Department, Centro Hospitalar do Porto (CHP), Largo Prof. Abel Salazar, 4099-001 Porto, PortugalNephrology Department, Centro Hospitalar do Porto (CHP), Largo Prof. Abel Salazar, 4099-001 Porto, PortugalEnd 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.http://dx.doi.org/10.4061/2011/914849 |
| spellingShingle | P. Cotovio A. Rocha A. Rodrigues Peritoneal Dialysis in Diabetics: There Is Room for More International Journal of Nephrology |
| title | Peritoneal Dialysis in Diabetics: There Is Room for More |
| title_full | Peritoneal Dialysis in Diabetics: There Is Room for More |
| title_fullStr | Peritoneal Dialysis in Diabetics: There Is Room for More |
| title_full_unstemmed | Peritoneal Dialysis in Diabetics: There Is Room for More |
| title_short | Peritoneal Dialysis in Diabetics: There Is Room for More |
| title_sort | peritoneal dialysis in diabetics there is room for more |
| url | http://dx.doi.org/10.4061/2011/914849 |
| work_keys_str_mv | AT pcotovio peritonealdialysisindiabeticsthereisroomformore AT arocha peritonealdialysisindiabeticsthereisroomformore AT arodrigues peritonealdialysisindiabeticsthereisroomformore |