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08/29/09 02:02 PM

"I'm an insulin-dependent diabetic who was diagnosed with Stage V kidney disease. What effects, if any, does dialysis have on blood sugar?"
Asked By: sicvic  
Category: Kidney Disease

Background Info Hide
Insulin-Dependent diabetic for 18 years; Stage V kidney disease patient for 6 months

Expert Answers (1)

10/27/09 01:24 PM

Hello SlcVic: Diabetes impacts the entire body, as you have experienced. I am sorry to hear of the advanced kidney disease, or end-stage renal disease, and the anticipated treatment of dialysis. Dialysis is a way of using a machine to artificially do the job that the kidneys are no longer able to do. Different types of dialysis are available, both, accomplish the same thing-removing toxins from the blood.

Two forms of dialysis are available, peritoneal dialysis, or CCAPD, or hemodialysis therapy. Dialyses, treatment tailored to your needs, are scheduled 2-3 times per week and last 2-4 hours. CAPD, involved the use of fluid instilled in the abdomen area, or peritoneum, infused slowly, left in for a period of time, and then the metabolic wastes emptied via gravity drip, also can result in electrolyte, vitamin and mineral losses. This procedure has some advantages, flexibility for travel, some protein losses, hypoglycemia risk is reduced due to glucose in the dialysate. Hemodialysis involves the blood to be removed from the body via an access point, routed through the dialysate solution across a semi-permeable membrane, and returned to the body via a vein. Several metabolic events during hemodialysis include: blood toxins, fluids, nitrogen wastes, losses of blood glucose, amino acids, (protein), iron and many vitamins and minerals occur. You most likely will have a renal dietitian as to advise for nutritional modifications, additions or omissions.

This whole body fluid filtering/ process is monitored closely. I.e. Electrolyte highs or lows, hypoglycemia, or any other potential complication. Blood glucose control is very important, although insulin requirement may become less. Fluctuations in appetite, gastric emptying or lab values, can all impact nutritional status.

Work closely with your healthcare team, increase understanding, goals, patterns of treatment, & support. Thanks for aksing dLife, regards Sue

Answered By: Susan Throop
Accreditations: RD, CDE, MA
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