Hemodialysis in patients with diabetes mellitus

摘要: Miles focuses on currently possible improvements in the hemodialysis regimen as a means of reducing morbidity and mortality. Noting that diabetic patients have 20% greater rate intradialytic hypotension, recurrent hypotension results underdialysis, this complication is analyzed detail. Potential management strategies are proposed including lower ultrafiltration with increased duration treatments. Proposed corrective measures such limiting meals before or during hemodialysis, omitting antihypertensive medications morning leg toning exercises to improve venous return refreshing their simplicity avoidance expense. An apparently higher vascular access thrombosis attributed use synthetic grafts patients. But, resort graft over primary arterio-venous fistula often decision forced by inadequate damaged vessels at time creation. No easy remedy for effective evident.