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| 당뇨병환자에서의 CAPD |
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| Abstract |
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A steady imrovement of results in the trea- tment of diabetic patients with end-stage renal disease has been observed with all methods, hemodialysis, CAPD and renal transplantation, used during last 10 years. Everyone agrees that exclusion of diabetics from renal function replace- ment therapy is no longer acceptable when treatment facilities are available. In many indu- strialized countries, numbers of diabetic patients with end-stage renal disease on dialysis has heea progressively increasing. CAPD is an appealing dialysis procedure ia diabetics. Many authors agree that diabetics with end-stage renal disease can handle the technique very well and the rate of peritonitis can be not higher to what is observed in a non diabetics. An excellent contro) of blood glucose levels is made possible by using the intraperitoneal route three to four times a day for administration of insulin. Also in many patients hypertension hig- hly prevalent in these patients is under good control without using antihypertensive agents agents and stabilization or even improvement of the visual status can be observed occasionally. Finally the greatest benefit is the possibility of being dialyzed at home. In this article, general guide of treatment of diabetics, control of blood sugar by intraperitoneal insulin administration, and review of articles for CAPD in diabetics with end-stage renal disease including our results were briefly summariaed. |
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