Hemodialysis in Type 1 and Type 2 Diabetic Patients with End-Stage Renal Failure

  • C. M. Kjellstrand
  • L.-E. Lins
Part of the Topics in Renal Medicine book series (TIRM, volume 6)


Diabetic patients are increasingly being accepted for dialysis. In some areas of the world, such as the Scandinavian countries, the proportion of patients accepted for dialysis who are diabetic now equals that of patients with chronic glomerulonephritis [1–3] and in other areas, such as Minnesota, patients with a diagnosis of diabetes mellitus accepted for dialysis now exceed those with chronic glomerulonephritis and hypertension combined. [4–8].


Diabetic Patient Chronic Dialysis Chronic Glomerulonephritis PTFE Graft Young Diabetic Patient 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Jacobs C, Broyer M, Brunner FP, et al.: Combined report on regular dialysis and transplantation in Europe. XI. Proc Eur Dial Transplant Assoc 18: 2–58, 1980.Google Scholar
  2. 2.
    Wing AJ, Broyer M, Brunner FP, et al.: Combined report on regular dialysis and transplantation in Europe. XIII. Proc Eur Dial Transplant Assoc 20: 2–75, 1982.Google Scholar
  3. 3.
    Cameron JS, Challa S: Treatment of end-stage renal failure due to diabetes in the United Kingdom, 1975–1984. Lancet 2: 962–966, 1986.PubMedCrossRefGoogle Scholar
  4. 4.
    Hellerstedt WL, Johnson WJ, Ascher N, et al.: Survival rates of 2,728 end-stage renal disease patients. Mayo Clin Proc 59: 776–783, 1984.PubMedCrossRefGoogle Scholar
  5. 5.
    Egger PW, Connerton R, McMullan M: The Medicare experience with end-stage renal disease: trends in incidence, prevalence and survival. Health Care Finance Rev 5: 69–87, 1984.Google Scholar
  6. 6.
    Anonymous: Vital statistics of the United States. Washington DC: DHHS, II AandB, 84–1101, 1979.Google Scholar
  7. 7.
    Kjellstrand CM, Logan GM: Racial, sexual and age discrimination in chronic dialysis [editorial]. Nephron 45: 257–263, 1986.CrossRefGoogle Scholar
  8. 8.
    Renal Network Coordinating Council of the Upper Midwest, Inc.: Annual report. Minneapolis, 1985.Google Scholar
  9. 9.
    Kjellstrand CM, Matson M: Demand for and changing patient population, mortality and death patterns in chronic dialysis. In: Uremia therapy. New York: Springer-Verlag, 1987.Google Scholar
  10. 10.
    Whitley KY, Shapiro FL: Hemodialysis for end-stage diabetic nephropathy. In: Diabetic renal-retinal syndrome. 3. New York: Grune and Stratton, 1986, pp 349–36.Google Scholar
  11. 11.
    Comty CM, Kjellsen D, Shapiro FL: A reassessment of the prognosis of diabetic patients treated by chronic hemodialysis. Trans Am Soc Artif Intern Organs 22: 404–410, 1976.PubMedGoogle Scholar
  12. 12.
    Massry SG, Feinstein El, Goldstein DA: Early dialysis in diabetic patients with chronic renal failure. Nephron 23: 2–5, 1979.PubMedCrossRefGoogle Scholar
  13. 13.
    Shapiro FL, Comty CM: Hemodialysis in diabetics: 1981 Update. In: Diabetic renal-retinal syndrome, 2nd edn. New York: Grune and Stratton, 1983, pp 309–320.Google Scholar
  14. 14.
    Aman LC, Levin NW, Smith DW: Hemodialysis access site morbidity. Proc Clin Dial Transplant Forum 10: 277–282, 1980.PubMedGoogle Scholar
  15. 15.
    Shapiro FL, Comty CM: Hemodialysis in diabetics: 1979 update. In: Diabetic renal-retinal syndrome. New York: Grune and Stratton, 1980, pp 333–343.Google Scholar
  16. 16.
    Buselmeier TJ, Najarian JS, Simmons RL: A-V fistulas and the diabetic: ischemia and gangrene may result in amputation. Trans Am Soc Artif Intern Organs 19: 49–52, 1973.PubMedCrossRefGoogle Scholar
  17. 17.
    Matson M, Kjellstrand CM: Twenty-year follow-up of 369 diabetic patients on chronic dialysis. Arch Intern Med (Submitted for publication), 1986.Google Scholar
  18. 18.
    Lindner A, Charra B, Sherrad D, Scribner B: Accelerated atherosclerosis in prolonged maintenance hemodialysis. N Engl J Med 290: 697–701, 1974.PubMedCrossRefGoogle Scholar
  19. 19.
    Philipson JD, Carpenter BJ, Itzkoff J, et al.: Evaluation of cardiovascular risk for renal transplantation in diabetic patients. Am J Med 81: 630–634, 1986.PubMedCrossRefGoogle Scholar
  20. 20.
    Lundin AP, Adler AJ, Feinroth MV, et al.: Maintenance hemodialysis: survival beyond the first decade. JAMA 244: 38, 1980.PubMedCrossRefGoogle Scholar
  21. 21.
    Vincenti F, Amend W, Abele J, et al.: The role of hypertension in hemodialysis-associated atherosclerosis. Am J Med 68: 363–369, 1980.PubMedCrossRefGoogle Scholar
  22. 22.
    Rostand SG, Gretes JC, Kirk KA, et al.: Ischemic heart disease in patients with uremia undergoing maintenance hemodialysis. Kidney Int 16: 600–611, 1979.PubMedCrossRefGoogle Scholar
  23. 23.
    Neu S, Kjellstrand CM: Stopping long-term dialysis. N Engl J Med 314: 14–20, 1986.PubMedCrossRefGoogle Scholar
  24. 24.
    Schriel J, Silins J, Hauser J, et al.: Canadian renal failure register: 1983 report. Ottawa: Kidney Foundation of Canada, 1984, p 56.Google Scholar
  25. 25.
    Rodin GM, Chmara J, Ennis J, et al.: Stopping life-sustaining medical treatment: psychiatric considerations in the termination of renal dialysis. Can J Psychiatry 26: 540–544, 1981.PubMedGoogle Scholar
  26. 26.
    Shapiro FL, Umen A: Risk factors in hemodialysis patient survival. Am Soc Artif Intern Organs J 6: 176–184, 1983.Google Scholar
  27. 27.
    Leonard A, Comty C, Raij L: The natural history of regularly dialyzed diabetics. Trans Am Soc Artif Intern Organs 19: 282–286, 1973.PubMedCrossRefGoogle Scholar
  28. 28.
    Comty CM, Shapiro FL: Management and prognosis of diabetic patients treated by chronic hemodialysis. Am Soc Nephrol 5: 15, 1971.Google Scholar
  29. 29.
    Morrow CE, Schwartz JS, Sutherland DER, et al.: Predictive value of thallium stress testing for coronary and cardiovascular events in uremic diabetic patients before renal transplantation. Am J Surg 146: 331, 1983.PubMedCrossRefGoogle Scholar
  30. 30.
    Braun WE, Phillips DF, Vidt DG, et al.: Coronary artery disease in 100 diabetics with end-stage renal failure. Transplant Proc 16: 603–607, 1984.PubMedGoogle Scholar
  31. 31.
    Philipson JD, Carpenter BJ, Itzkoff J, et al.: Cardiac evaluation prior to renal transplantation in diabetics with end-stage renal disease. In: Abstracts of the American Society of Transplant Physicians 4th annual meeting, 1985, p 33.Google Scholar
  32. 32.
    Weinrauch LA, D’Elia JA, Healy RW, et al.: Asymptomatic coronary artery disease: angiography in diabetic patients before renal transplantation. Ann Intern Med 88: 346–349, 1978.PubMedGoogle Scholar
  33. 33.
    Berkseth RO, Kjellstrand CM: Radiologie contrast-induced nephropathy. Med Clin North Am 68: 351–370, 1984.PubMedGoogle Scholar
  34. 34.
    Wathen RL, Keshavaiah P, Hemmeyer P, et al.: The metabolic effects of hemodialysis with and without glucose in the dialysate. Am J Clin Nutr 31: 1870, 1978.PubMedGoogle Scholar
  35. 35.
    Leski M, Niethammer T, Wyss T: Glucose-enriched dialysate and tolerance to maintenance hemodialysis. Nephron 24: 271–273, 1979.PubMedCrossRefGoogle Scholar
  36. 36.
    Ramsay RC, Knobloch WH, Cantrill HL, et al.: Visual status in transplanted and dialyzed diabetic patients. In: Diabetic renal—retinal syndrome, 2nd edn. New York: Grune and Stratton, 1982, pp 427–435.Google Scholar
  37. 37.
    Diaz-Buxo JA, Burgess WP, Greenman M: Visual function in diabetic patients undergoing dialysis: comparison of peritoneal and hemodialysis. Int J Artif Organs 7: 257–262, 1984.PubMedGoogle Scholar
  38. 38.
    Weinrauch LA, Healy RW, Leland OS, et al.: Decreased insulin requirement in acute renal failure in diabetic nephropathy. Arch Intern Med 138: 399–402, 1978.PubMedCrossRefGoogle Scholar
  39. 39.
    Avram MM, Lipner HI, Sadiquali R, et al.: Metabolic changes in diabetic uremic patients on hemodialysis. Trans Am Soc Artif Intern Organs 22: 412–418, 1976.PubMedGoogle Scholar
  40. 40.
    Amico JA, Klein I: Diabetic management in patients with renal failure. Diabetes Care 3: 430–434, 1981.CrossRefGoogle Scholar
  41. 41.
    Comty CM, Leonard A, Shapiro FL: Nutritional and metabolic problems in the dialyzed patients with diabetes mellitus. Kidney Int 6: S51 — S57, 1974.Google Scholar
  42. 42.
    Defronzo RA, Tobin JD, Rowe JW, Andres R: Glucose intolerance in uraemia. J Clin Invest, 62: 425–435, 1978.PubMedCrossRefGoogle Scholar
  43. 43.
    Rubenfeld S, Garber AJ: Abnormal carbohydrate metabolism in chronic renal failure. J Clin Invest 62: 20–28, 1979.CrossRefGoogle Scholar
  44. 44.
    Sherwin RS, Bastle C, Finkelstein SO: Influence of uremia and hemodialysis on turnover and metabolic effects of glucagon. J Clin Invest 57: 722–731, 1976.PubMedCrossRefGoogle Scholar
  45. 45.
    Levitz CS, Hirsch S, Ross JM, et al.: Lack of blood glucose control in hemodialyzed and renal transplantation diabetics. Trans Am Soc Artif Intern Organs 26: 362–365, 1980.PubMedGoogle Scholar
  46. 46.
    Oakley W, Hill D, Oakley N: Continued use of regular crystalline and potassium (NPH) insulin in the treatment of severe diabetes. Diabetes 15: 219, 1966.PubMedGoogle Scholar
  47. 47.
    Bentley FR, Sutherland DER, Mauer SM, et al.: The status of diabetic renal allograft recipients who survive for ten or more years after transplantation. Transplant Proc 17: 1573–1576, 1985.Google Scholar

Copyright information

© Springer Science+Business Media Dordrecht 1988

Authors and Affiliations

  • C. M. Kjellstrand
  • L.-E. Lins

There are no affiliations available

Personalised recommendations