While survival on dialysis continues to improve, diabetic patients still do less well than non-diabetic patients (6). Results from the Italian Cooperative Peritoneal Study Group Registry show the 10-year patient survival for the 301 diabetic patients to be less than half that of the 1689 non-diabetic subjects (20.6% vs 55.6%) (7). Higher mortality rates among diabetic patients receiving HD also occur (8), but with good glycaemic control these rates can be improved (9).

Peritoneal dialysis is the preferred mode of treatment for diabetic patients with microvascular and macrovascular co-morbidities. Continuous ambulatory peritoneal dialysis allows for a slow ultrafiltration process that provides greater cardiovascular stability than HD. Blood pressure control is easier and residual renal function is preserved for longer. It also provides incidentally for an alternative route of insulin administration. Initial concerns that diabetic CAPD patients may have higher dialysis-associated infection rates have not been confirmed (10,11).

Supplements For Diabetics

Supplements For Diabetics

All you need is a proper diet of fresh fruits and vegetables and get plenty of exercise and you'll be fine. Ever heard those words from your doctor? If that's all heshe recommends then you're missing out an important ingredient for health that he's not telling you. Fact is that you can adhere to the strictest diet, watch everything you eat and get the exercise of amarathon runner and still come down with diabetic complications. Diet, exercise and standard drug treatments simply aren't enough to help keep your diabetes under control.

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