| [ Summary ] |
The guideline from the Japanese Society of Dialysis in 2012 is useful for the treatment of patients with diabetes on dialysis. Diabetic patients requiring dialysis need special considerations. When deciding on the commencement of renal replacement therapy, the predominance of overhydrated states including congestive heart failure and/or pulmonary edema, as well as preexisting multiple complications must be taken into consideration. The 5 year survival rate for diabetic dialysis patients is the worst in comparison to those for any other non-diabetic causative diseases. Therefore, even after initiation of dialysis, there is a strong need for patients to have better control of blood sugar and/or blood pressure, cardiovascular management, diabetic gangrene, and ophthalmological care. |