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lung transplantation. The presence of an uncorrectable cardiac defect requires consideration of heart-lung transplantation.

Contraindications

Patients should not have irreversible organ damage (other than their pulmonary disease). Creatinine clearance should be near normal. Left ventricular function should be normal. Relative contraindications include severe malnutrition, presence of significant neurologic defects, poorly controlled diabetes mellitus, active collagen vascular disease, a skeletal abnormality which significantly impairs pulmonary mechanics. The presence of panresistant organisms in the patient's sputum may prelude transplantation.

The patient's support system is of paramount importance. Inadequate support from the child's immediate or extended family may be a relative contraindication for transplantation.

Diabetes 2

Diabetes 2

Diabetes is a disease that affects the way your body uses food. Normally, your body converts sugars, starches and other foods into a form of sugar called glucose. Your body uses glucose for fuel. The cells receive the glucose through the bloodstream. They then use insulin a hormone made by the pancreas to absorb the glucose, convert it into energy, and either use it or store it for later use. Learn more...

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