What is the optimal dialysis method for diabetic patients with end stage kidney disease?

World J Diabetes

Department of Nursing & Midwifery Research, Hamad Medical Corporation, Doha 3050, Qatar.

Published: December 2024

AI Article Synopsis

  • Diabetes significantly contributes to the rising rates of end-stage kidney disease (ESKD), with kidney transplants being limited due to a shortage of donors.
  • Dialysis serves as the primary alternative for ESKD treatment, but diabetic patients face additional complications, including infections and blood glucose level fluctuations.
  • The article reviews various dialysis methods and presents evidence-based studies to recommend the most effective type of dialysis for diabetic ESKD patients.

Article Abstract

Diabetes is one of the most catastrophic diseases ruling every corner of the world, and this has led to elevated incidents of end-stage kidney disease (ESKD). The standard treatment for ESKD is kidney transplantation/replacement, which is limited due to a deficiency of donors. Hence, dialysis has become the second-best option for treating patients with ESKD. Patients with ESKD with underlying diabetes have an additional risk of complications and infections over non-diabetic ESKD patients. Furthermore, these patients also experience variations in blood glucose levels and are more liable to develop malnutrition. This article elaborates on the different dialysis methods for ESKD patients. This editorial highlights the evidence-based studies that include randomized clinical trials, cohort studies, retrospective studies and case-control studies and suggests the most suitable type of dialysis under the following components.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11580596PMC
http://dx.doi.org/10.4239/wjd.v15.i12.2272DOI Listing

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