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Narrative Review of Glycemic Management in People With Diabetes on Peritoneal Dialysis

Piyumi Wijewickrama, Jennifer Williams, Steve Bain Orcid Logo, Indranil Dasgupta, Tahseen A. Chowdhury, Mona Wahba, Andrew H. Frankel, Mark Lambie, Janaka Karalliedde, Indranil Dasgupta, Tahseen A. Chowdhury, Mona Wahba, Andrew H. Frankel, Janaka Karalliedde

Kidney International Reports, Volume: 8, Issue: 4, Pages: 700 - 714

Swansea University Author: Steve Bain Orcid Logo

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    ª 2023 Published by Elsevier, Inc., on behalf of the International Society of Nephrology. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

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Abstract

There is an increasing number of people with diabetes on peritoneal dialysis (PD) worldwide. However, there is a lack of guidelines and clinical recommendations for managing glucose control in people with diabetes on PD. The aim of this review is to provide a summary of the relevant literature and h...

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Published in: Kidney International Reports
ISSN: 2468-0249
Published: Elsevier BV 2023
Online Access: Check full text

URI: https://cronfa.swan.ac.uk/Record/cronfa63333
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Abstract: There is an increasing number of people with diabetes on peritoneal dialysis (PD) worldwide. However, there is a lack of guidelines and clinical recommendations for managing glucose control in people with diabetes on PD. The aim of this review is to provide a summary of the relevant literature and highlight key clinical considerations with practical aspects in the management of diabetes in people undergoing PD. A formal systematic review was not conducted because of the lack of sufficient and suitable clinical studies. A literature search was performed using PubMed, MEDLINE, Central, Google Scholar and ClinicalTrials.gov., from 1980 through February 2022. The search was limited to publications in English. This narrative review and related guidance have been developed jointly by diabetologists and nephrologists, who reviewed all available current global evidence regarding the management of diabetes in people on PD.We focus on the importance of individualized care for people with diabetes on PD, the burden of hypoglycemia, glycemic variability in the context of PD and treatment choices for optimizing glucose control. In this review, we have summarized the clinical considerations to guide and inform clinicians providing care for people with diabetes on PD.
Keywords: diabetes, kidney failure, peritoneal dialysis
College: Faculty of Medicine, Health and Life Sciences
Issue: 4
Start Page: 700
End Page: 714