Your browser doesn't support javascript.
loading
Risk of hypoglycemia during hemodialysis in diabetic patients is related to lower pre-dialysis glycemia
Burmeister, Jayme Eduardo; Miltersteiner, Diego da Rosa; Burmeister, Bruna Ortega; Campos, Juliana Fernandes.
  • Burmeister, Jayme Eduardo; Universidade Luterana do Brasil. Canoas. BR
  • Miltersteiner, Diego da Rosa; Universidade Luterana do Brasil. Canoas. BR
  • Burmeister, Bruna Ortega; Universidade Luterana do Brasil. Canoas. BR
  • Campos, Juliana Fernandes; Universidade Luterana do Brasil. Canoas. BR
Arch. endocrinol. metab. (Online) ; 59(2): 137-140, 04/2015. tab
Article in English | LILACS | ID: lil-746457
ABSTRACT
Objective To compare the occurrence of hypoglycemia during hemodialysis in chronic kidney disease diabetic patients who present different levels of pre-dialysis glycemia both when using dialysis solutions with and without glucose. Subjects and methods Twenty type 2 diabetic patients in maintenance hemodialysis were submitted to three dialysis sessions (at a 7-day interval each) with dialysis solutions without glucose, with glucose at 55 mg/dL, and at 90 mg/dL subsequently. Blood glucose levels were measured immediately pre-dialysis and at 4 moments during the session, and values under 70 mg/dL were considered as hypoglycemia. Results Average pre-dialysis glycemia was lower in those who presented intra-dialytic hypoglycemia than in those who did not, both in glucose-free (140.4 ± 50.7 vs. 277.7 ± 91.0 mg/dL; p = 0.005; 95%CI 46.4 to 228.1) and in glucose 55 mg/dL (89.5 ± 10.6 vs. 229.7 ± 105.0 mg/dL; p < 0.05; 95%CI 9.8 to 270.5). In patients with pre-dialysis glycemia under 140 mg/dL, average intradialytic glycemia was significantly lower than pre-dialysis glycemia only when using glucose-free dialysate (p < 0.0001; 95%CI 29.9 to 56.0 - t-test). Hypoglycemia during dialysis was observed only when using glucose-free or glucose-poor dialysis solutions. Conclusions The use of glucose-free or glucose-poor dialysis solution presents a high risk of intradialytic hypoglycemia in diabetic renal patients, especially in those with presumed better glycemic control. .
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Blood Glucose / Hemodialysis Solutions / Renal Dialysis / Renal Insufficiency, Chronic / Hypoglycemia Type of study: Etiology study Limits: Adult / Aged / Female / Humans / Male Language: English Journal: Arch. endocrinol. metab. (Online) Journal subject: Endocrinology / Metabolism Year: 2015 Type: Article Affiliation country: Brazil Institution/Affiliation country: Universidade Luterana do Brasil/BR

Similar

MEDLINE

...
LILACS

LIS


Full text: Available Index: LILACS (Americas) Main subject: Blood Glucose / Hemodialysis Solutions / Renal Dialysis / Renal Insufficiency, Chronic / Hypoglycemia Type of study: Etiology study Limits: Adult / Aged / Female / Humans / Male Language: English Journal: Arch. endocrinol. metab. (Online) Journal subject: Endocrinology / Metabolism Year: 2015 Type: Article Affiliation country: Brazil Institution/Affiliation country: Universidade Luterana do Brasil/BR