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  • Title: Chronic peritoneal dialysis in the management of diabetics with terminal renal failure.
    Author: Rubin J, Oreopoulos DG, Blair RD, Chisholm LD, Meema HE, deVeber GA.
    Journal: Nephron; 1977; 19(5):265-70. PubMed ID: 917176.
    Abstract:
    Twelve diabetics with terminal renal failure were maintained on chronic peritoneal dialysis (PD) for 2-28 months (average 10 months). 7/12 survived more than 1 year. Blood glucose levels were well controlled by the use of supplemental, intradialysis, intraperitoneal insulin. The incidence of dialysis-related complications, including peritonitis was not significantly higher than in controls. Neurophysiological studies revealed a high incidence of neuropathy initially with progression in most patients. Radiological studies revealed initial vascular calcifications in 7 out of 12 patients with progression in 4. Retinopathy did not progress significantly. PD is a suitable alternative to hemodialysis in the management of end-stage diabetic nephropathy.
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