Management of adults with diabetes on the haemodialysis unit: summary of guidance from the Joint British Diabetes Societies and the Renal Association

Diabetic Medicine : a Journal of the British Diabetic Association
A H FrankelP Winocour

Abstract

Diabetic nephropathy remains the principal cause of end-stage renal failure in the UK and its prevalence is set to increase. People with diabetes and end-stage renal failure on maintenance haemodialysis are highly vulnerable, with complex comorbidities, and are at high risk of adverse cardiovascular outcomes, the leading cause of mortality in this population. The management of people with diabetes receiving maintenance haemodialysis is shared between diabetes and renal specialist teams and the primary care team, with input from additional healthcare professionals providing foot care, dietary support and other aspects of multidisciplinary care. In this setting, one specialty may assume that key aspects of care are being provided elsewhere, which can lead to important components of care being overlooked. People with diabetes and end-stage renal failure require improved delivery of care to overcome organizational difficulties and barriers to communication between healthcare teams. No comprehensive guidance on the management of this population has previously been produced. These national guidelines, the first in this area, bring together in one document the disparate needs of people with diabetes on maintenance haemodialysis. The g...Continue Reading

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Citations

Apr 11, 2020·Seminars in Dialysis·Jeffrey H WilliamSylvia E Rosas
Aug 29, 2018·Diabetic Medicine : a Journal of the British Diabetic Association·R I G Holt
Jan 17, 2020·Clinical Medicine : Journal of the Royal College of Physicians of London·Ketan DhatariyaGerry Rayman
Dec 4, 2020·Journal of the Royal Society of Medicine·James O BurtonDimitrios Kirmizis
Mar 28, 2021·Diabetic Medicine : a Journal of the British Diabetic Association·Sanjay Kalra
Oct 28, 2021·The British Journal of Radiology·Xieyi ZhangYoshito Tsushima
Jan 27, 2022·Diabetic Medicine : a Journal of the British Diabetic Association·Janaka KarallieddeStephen C Bain

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