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

IF 4.2 3区 医学 Q1 ENDOCRINOLOGY & METABOLISM World Journal of Diabetes Pub Date : 2024-12-15 DOI:10.4239/wjd.v15.i12.2272
Nirmal Noor Kheber, Abdulqadir J Nashwan
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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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糖尿病终末期肾病患者的最佳透析方法是什么?
糖尿病是统治世界每个角落的最严重疾病之一,这导致终末期肾病(ESKD)发病率上升。治疗终末期肾病的标准方法是肾脏移植/替代,但由于供体不足,这种方法受到限制。因此,透析已成为治疗 ESKD 患者的次佳选择。与非糖尿病 ESKD 患者相比,伴有糖尿病的 ESKD 患者有更多的并发症和感染风险。此外,这些患者的血糖水平也会发生变化,更容易出现营养不良。本文详细阐述了 ESKD 患者的不同透析方法。这篇社论强调了包括随机临床试验、队列研究、回顾性研究和病例对照研究在内的循证研究,并根据以下内容提出了最适合的透析类型。
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来源期刊
World Journal of Diabetes
World Journal of Diabetes ENDOCRINOLOGY & METABOLISM-
自引率
2.40%
发文量
909
期刊介绍: The WJD is a high-quality, peer reviewed, open-access journal. The primary task of WJD is to rapidly publish high-quality original articles, reviews, editorials, and case reports in the field of diabetes. In order to promote productive academic communication, the peer review process for the WJD is transparent; to this end, all published manuscripts are accompanied by the anonymized reviewers’ comments as well as the authors’ responses. The primary aims of the WJD are to improve diagnostic, therapeutic and preventive modalities and the skills of clinicians and to guide clinical practice in diabetes. Scope: Diabetes Complications, Experimental Diabetes Mellitus, Type 1 Diabetes Mellitus, Type 2 Diabetes Mellitus, Diabetes, Gestational, Diabetic Angiopathies, Diabetic Cardiomyopathies, Diabetic Coma, Diabetic Ketoacidosis, Diabetic Nephropathies, Diabetic Neuropathies, Donohue Syndrome, Fetal Macrosomia, and Prediabetic State.
期刊最新文献
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