Friday, July 23, 2010

Managing diabetes in hemodialysis patients....

Managing diabetes in hemodialysis patients: Observations and recommendations


KUMARPAL SHRISHRIMAL, MD, MS
Department of Hospital Medicine, Cleveland Clinic
PETER HART, MD
Division of Nephrology, Department of Medicine, Cook County Hospital, Chicago, IL
FRANKLIN MICHOTA, MD
Department of Hospital Medicine, Cleveland Clinic
Cleveland Clinic Journal of Medicine November 2009 vol. 76 11 649-655
Abstract
Diabetes is challenging to manage in patients who have end-stage renal disease (ESRD), as both uremia and dialysis can complicate glycemic control by affecting the secretion, clearance, and peripheral tissue sensitivity of insulin. The authors summarize the available evidence and make practical recommendations.

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