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당뇨병환자에서의 CAPD

Continuous Ambulatory Peritoneal Dialysis in Diabetics with End-Stage Renal Disease

대한의학협회지 1961년 4권 1호 p.70 ~ 74
이시래 (  ) - 고신의대 내과학교실

Abstract


A steady imrovement of results in the treatment of diabetic patients with end-stage renal disease has been observed with all methods, hemodialysis, CAPD and renal transplantation, used during last 10 years. Everyone agrees that exclusion of diabetics from renal function replacement therapy is no longer acceptable when treatment facilitics are available. In many industrialized countries, numbers of diabetic patients with end-stage renal disease on dialysis has been progressively increasing.
CAPD is an appealing dialysis procedure in diabetics. Many authors agree that diabetics with end-stage renal disease can handle the technique very well and the rate of peritonitis can be not higher to what is observed in a non diabetics.
An excellent control of blood glucose levels is made possible by using the intraperitoneal route three to four times a day for administration of insulin. Also in many patients hypertension highly prevalent in these patients is under good control without using antihypertensive agents agents and stabilization or even improvement of the visual status can be observed occasionally.
Finally the grearest benefit is the possibility of being dialyzed at home.
In this article, general guide of treatment of diabetics, control of blood sugar by intraperitoneal insulin administration, and review of articles for CAPD in diabetics with end-stage renal disease including our results were briefly summarized.

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