Haemodialysis in Type 1 and Type 2 Diabetic Patients with end Stage Renal Failure
In the early days of haemodialysis, efforts to treat and rehabilitate uremic diabetics were largely unsuccessful  until dialysis procedures and volume control had become more effective. Although diabetics have a poorer outcome than non-diabetics, survival on dialysis has improved to such an extent that today virtually no restrictions for admission to renal replacement therapy for these patients are justified. Consequently, diabetic nephropathy (assuming that in most cases renal failure is due to diabetic nephropathy) accounts for a large proportion of the dialysis population second only to glomerulonephritis and in some centers (as in Heidelberg) even exceeding glomerulonephritis .
KeywordsDiabetic Patient Diabetic Nephropathy Renal Replacement Therapy Nephrol Dial Transplant Diabetic Polyneuropathy
Unable to display preview. Download preview PDF.
- 2.Brunner FP, et al. Survival on renal replacement therapy: data from the EDTA registry. Nephrol Dial Transplant 1988; 1: 109–122.Google Scholar
- 5.Cordonnier DJ, Zmirou D, Benhamou PY, Halimi S, Ledoux F, Guiserix J. Epidemiology, development and treatment of end-stage renal failure in Type 2 (non-insulin-dependent) diabetes. The case of mainland France and of overseas French territories. Diabetologia 1993; 36: 1109–1112.PubMedCrossRefGoogle Scholar
- 10.Parving HH. »The course of renal function before and during antihypertensive treatment in diabetic nephropathy.« In The Kidney and Hypertension in Diabetes Mellitus. 1.ed. Mogensen CE, ed. Boston: Martinus Nijhoff Publishing, 1988; pp 191–197.Google Scholar
- 14.Tschöpe W, Koch M, Thomas B, Ritz E. Serum lipids predict cardiac death in diabetic patients on maintenance hemodialysis. Nephrol 1992; 64: 354–358.Google Scholar
- 16.United States Renal Data System. Annual Data Report. Am J Kidney Dis 1991; 18: Suppl. 2.Google Scholar
- 22.Ritz E, Koch M. »Renal failure in diabetic nephropathy.« In Oxford Textbook in Clinical Nephrology. Cameron ST, Davison AM, Grünfeld JP, Kerr D, Ritz E, eds. Oxford Medical Publications, 1992; pp 1635-1655.Google Scholar
- 23.Ritz E, Fliser D, Siebels M. »Diabetic nephropathy.« In Textbook Clinical Nephrology. Massry SG, Glassock RJ, eds. Baltimore/London: Williams & Wilkins, 1994.Google Scholar
- 24.Grodstein G, Harrison A, Roberts C, Ippoliti A, Kopple JD. Impaired gastric emptying in hemodialysis patients. Kidney Int 1979; 16: 952 (a).Google Scholar
- 29.Rinehart AL, Herzog CA, Collins AJ, Flack JM, Ma JZ, Opsahl JA. Greater risk of cardiac events after coronary angioplasty (PTCA) than bypass grafting (CABG) in chronic dialysis patients. J Am Soc Nephrol 1992; 3: 389 (a).Google Scholar
- 33.Rischen-Vos J, van der Woude FJ, Tegzess AM, Zwinderman AH, Gooszen HC, van den Akker PJ, van Es LA. Increased morbidity and mortality in patients with diabetes mellitus after kidney transplantation as compared with non-diabetic patients. Nephrol Dial Transplant 1992; 7: 433–437.PubMedGoogle Scholar
- 34.Hirschl MM, Derfler K, Heinz G, Sunder-Plassmann G, Waldhäusl W. Long-term follow-up of renal transplantation in type 1 and type 2 diabetic patients. Clin Invest 1992; 70: 917–921.Google Scholar
- 35.Borgel F, Benhamou PY, Zmirou D, Balducci F, Halimi S, Cordonnier D. Assessment of handicap in chronic dialysis diabetic patients (Uremidiab Study). Scand J Rehab Med 1992; 24: 203–208.Google Scholar