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Continuous Ambulatory Peritoneal Dialysis in Uremic Diabetics

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The Kidney and Hypertension in Diabetes Mellitus

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Abstract

During the last 15 years, there has been an impressive increase in the number of patients with end-stage renal disease (ESRD) due to diabetic nephropathy [1]. Diabetic nephropathy has become the leading cause of ESRD in such countries as United States, Canada, Japan, Scandinavia and much of Western Europe, accounting for 30% of new patients and 26% of U.S. dialysis and transplant patients [2,3]. Hemodialysis (HD), continuous ambulatory peritoneal dialysis (CAPD) and renal transplantation are standard therapies for these patients. Despite encouraging results with renal transplantation which offers a better quality of life and perhaps longer survival than dialysis [4,5], the majority are treated with dialysis, mainly because of the advanced age of most diabetics and the lack of kidney donors. When transplant is not available or is not medically feasible, dialysis therapy becomes inevitable for many of these patients, waiting for renal transplant. The choice of dialysis therapy depends on such factors as nephrologist’s bias, existence of extrarenal disease in the patient, treatment availability and other medical and social factors [2]. CAPD, which offers some advantages in the diabetic, was proposed, from early on, as the preferred dialytic treatment [6]. Now, CAPD is the first choice in dialytic treatment for ESRD in diabetes in Australia, New Zealand, England, Canada and some regions of the United States [2].

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Authors and Affiliations

  1. Peritoneal Dialysis Unit, University of Toronto, The Toronto Hospital, Toronto, Ontario, Canada

    Elias V. Balaskas & Dimitrios G. Orepoulos

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  1. Elias V. Balaskas
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  2. Dimitrios G. Orepoulos
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Editors and Affiliations

  1. Medical Department M (Diabetes & Endocrinology), Aarhus Kommunehospital University Hospitals in Aarhus, Aarhus C, Denmark

    Carl Erik Mogensen

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© 1996 Springer Science+Business Media New York

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Balaskas, E.V., Orepoulos, D.G. (1996). Continuous Ambulatory Peritoneal Dialysis in Uremic Diabetics. In: Mogensen, C.E. (eds) The Kidney and Hypertension in Diabetes Mellitus. Springer, Boston, MA. https://doi.org/10.1007/978-1-4757-6749-0_50

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  • DOI: https://doi.org/10.1007/978-1-4757-6749-0_50

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