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The Management of Terminal Renal Failure in Diabetic Patients by Regular Dialysis Therapy
32
Citations
0
References
1973
Year
Diabetic PatientsDialysis TherapyRegular DialysisDiabetic RetinopathyRenal FunctionDiabetic NeuropathyChronic Kidney DiseaseHemodialysisDiabetes ManagementOphthalmologyPeritoneal DialysisKidney FailureInsulin ManagementEnd-stage Renal DiseaseUrologyRenal DiseaseDiabetesHome DialysisDiabetic Kidney DiseaseRegular Dialysis TherapyDiabetes MellitusMedicineTerminal Renal FailureNephrology
Ten diabetics, nine requiring insulin, were kept alive on peritoneal dialysis and haemodialysis for varying periods of time, with a mean suvival rate of 7 months only per patient. The management of the cardiovascular problems affecting the brain, eye, heart, and peripheral vessels far exceeded the difficulties in managing their diabetic state. Two patients were maintained on home dialysis, one with full sight, the other with partial sight. One patient received a combined renal and pancreatic transplant and required no insulin for 8 days, succumbing from a pulmonary embolus. Patients with diabetes will be accepted in the future for regular dialysis, particularly before severe protein restriction has taken place, and before hypertension has complicated their retinal problems.