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The effect of hemodialysis on glycemic variability
| 1 | Oddział Neurochirurgii, Szpital Wojewódzki w Bielsku-Białej |
| 2 | Centrum Medyczne MEDEA w Mazańcowicach, Poradnia Podstawowej Opieki Zdrowotnej |
| 3 | Klinika Chorób Wewnętrznych, Diabetologii i Nefrologii, Wydział Lekarski z Oddziałem Lekarsko-Dentystycznym w Zabrzu, Śląski Uniwersytet Medyczny w Katowicach
Katowicach |
CORRESPONDING AUTHOR
Grzegorz Tadeusz Pruś
Oddział Neurochirurgii, Szpital Wojewódzki w Bielsku-Białej, al. Armii Krajowej 101, 43-300 Bielsko-Biała
Oddział Neurochirurgii, Szpital Wojewódzki w Bielsku-Białej, al. Armii Krajowej 101, 43-300 Bielsko-Biała
Ann. Acad. Med. Siles. 2019;73:53–59
KEYWORDS
TOPICS
ABSTRACT
The steady increase in the incidence of type 2 diabetes, which is the leading cause of end-stage renal failure among hemodialysis patients, has been the subject of multidisciplinary research. Much attention has been devoted to the effects of hemodialysis on blood glucose fluctuations during hemodialysis and intervals between treatments, as well as differences in glycemic variability in patients with and without diabetes mellitus.
A large group of studies is those related to methods of monitoring glucose levels and the usefulness of individual biomarkers. The results clearly show the significant and different effects of hemodialysis on glycemic dysfunction in people with and without diabetes. It has also been shown that due to the numerous interfering factors, the usefulness of HbA1c to monitor glucose levels in hemodialysis patients is lower compared to non-demyelised individuals, but still remains the primary biomarker for glucose monitoring.
Research has also become a method of treating diabetes in hemodialysis patients, dietary recommendations and an attempt to develop standards for the care of hemodialysis patients. The results of individual studies on obesity and dietary recommendation remain unchanged, suggesting a positive effect on the quality of life, renal failure, and hemodialysis itself. These results have not yet been confirmed by subsequent studies.
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