Abstract
There has been a continuous increase in diabetics among new dialysis patients. Although the survival of diabetics undergoing dialysis has been improving because of continued progress in dialysis technology and CAPD, there are still many unsolved problems concerning complications such as cardiovascular disturbances, retinopathy and neuropathy. We previously reported the clinical features, complications and couse of death among diabetics with dialysis in Hyogo Prefecture.
This time, we performed a clinical survey on 18 diabetic patients: 10 men and 8 women, average age 59.2 years, 6 patients with IDDM and 12 with NIDDM. The interdialytic weight increase was less than 3kg, CTR was 53%, and blood pressure was 150/71mmHg. These were maintained under reasonable control. FBS (148.3mg/dl), HBA1c (7.2%), serum cholesterol (168.6mg/dl) and triglyceride (152.9mg/dl) were somewhat higher than normal, whereas HDL (33.5mg/dl) was slightly low. Ten of the 18 patients retained their eyesight. C-PTH was 4.4ng/ml, not especially high, but 9 of the 18 patients demonstrated renal osteodystrophy.
