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The Question
Fri Dec 16 15:22:47 EST 2011

How do I decide if a kidney transplant is right for me or a kidney/pancreas transplant?
Asked By: patriceh  

Background Info Hide
58 years old type 1 diabetic for 38 years
Diabetes Profile Hide
n/a
Expert Answers (1)
2013-11-22 22:23:47.0

Hello,

Thanks for asking dLife.

Transplants improve the quality of life. They also come with risk factors. Your health care team knows your medical, emotional and social history. They would be better able to provide you with benefits as well as risk s associated with both types of transplants.

Informational sessions with your health care team can be overwhelming. Take a close family member or friend with you during the meetings. Whenever you do not fully understand any medical explanation, ask and ask again. Have your health care team write down the information they share with you. This way you can review the details and make an informed decision.

Take care.

Answered By: Liz Quintana
Accreditations: EdD, RD, LD, CDE
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Community Answers (1)
2012-01-06 21:10:05.0

Good Evening Patriceh; Thank you for consulting with dLife.com about a very serious concern and one which would require through evaluation. I would say, this decision is somewhat similar to how you decided to transition to using the pump, this required some behavior change and dedication to ensure success. A kidney-pancreas transplant restores both glucose metabolism and kidney functions. Deciding upon a transplant/any surgery required complete investigation. Most transplant centers have established criteria for patient selection, each center may vary slightly, however, typically centers include :
  • the diagnosis of TY1
  • evidence of secondary complications such as neuropathy
  • metabolic instability
  • and adequate financial resources/insurance coverage for their candidate selection. Potential complications could include many of which should all be reviewed with your physicians; Risk of heart problems, bleeding, immunosuppressant concerns, infection and many others.

    The kidney transplant is an easier (not to make light of this critical decision/ (only one organ to monitor for functionality). Serum creatinne is the primary indicator for kidney rejection. Signs of potential rejection can be detected early, treatment initiated and providing for some protection for the pancreas.
    Transplant success depends on the similarity of the tissues, rejection can be a constant concern. Evaluate the pros and cons, include your support team as well the complete healthcare team. Many well wishes for great outcomes, regards Sue:
    Click here to read more.
    Click here to read more.
    Click here to read more.

  • Answered By: auto1357248533426

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    *** All information contained on dLife.com is intended for informational and educational purposes only. Our Expert Q&A is not intended to be a replacement or substitute for consultation with a qualified medical professional or for professional medical advice related to diabetes or another medical condition. Please contact your physician or medical professional with any questions and concerns about your medical condition.

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