Journal Watch - Diabetes

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  1. Diabetes and the Risk of Peritonitis on PD

    In contrast to earlier reports, a single-center study of PD patients between 1980 and 2012 (by era: 1980-’93, 1994-’04, 2005-12) found that while PD-associated peritonitis was higher among patients with diabetes in the earlier two eras, there were no differences in recent years.

    Read the abstract » | (added 01/09/2020)

    Tags: Pd, Peritonitis, Diabetes

  2. Is PD a Good Option for Patients with Liver Cirrhosis?

    A study matched patients with cirrhosis who did PD, patients with cirrhosis who did HD, and non-cirrhosis patients on PD by age, sex, catheter placement date, and diabetes status. PD technique failure and all-cause mortality were similar between patients with and without cirrhosis.

    Read the abstract » | (added 10/14/2019)

    Tags: Pd, Cirrhosis

  3. Sudden Cardiac Death (SCD) in PD vs. HD

    A Korean registry analysis of 132,083 dialysis patients between 1985 and 2017 found that SCD caused 19.6% of the 34,632 deaths. Even after adjusting for age and significant comorbidities, HD was independently associated with SCD, as was diabetes.

    Read the abstract » | (added 10/14/2019)

    Tags: Scd, Sudden Cardiac Death, Pd, Hd

  4. Glycated Albumin vs. HbA1c Predicts Mortality in PD Patients with Diabetes

    In patients on hemodialysis, glycated albumin (GA) reflects glycemic control and predicts all-cause mortality. A new retrospective, longitudinal observational study looked at GA in PD. Among 44 PD patients with diabetes matched to 88 HD patients with diabetes followed for 3 years, GA was a more precise way to measure glycemic control than hemoglobin A1c.

    Read the abstract » | (added 09/11/2019)

    Tags: Peritoneal Dialysis, All Cause Mortality, Glycaemic Control, Glycated Albumin, Glycated Haemoglobin

  5. High Fiber Diet May Save Lives on PD

    A study of 881 PD patients followed for up to 12 years found that participants who ate more fiber tended to be younger, male, and have more residual kidney function. In those who did not have diabetes, each 1 gram increase in daily fiber intake independently predicted improved survival by 13%.

    Read the abstract » | (added 08/14/2019)

    Tags: Chronic Kidney Disease, Dietary Fiber, Mortality, Peritoneal Dialysis

  6. 10-year retrospective study of urgent-start PD

    Among urgent-start 2,059 PD patients followed for a decade, older patients were less likely to have PD catheter failure than younger ones, while men and people with diabetes had higher catheter failure rates. Lower hemoglobin levels predicted more abdominal wall complications. Overall, urgent-start PD was safe and effective, and a well-trained team and comprehensive follow up were recommended.

    Read the abstract » | (added 07/15/2019)

    Tags: Urgent Start Pd, Pd Catheter Failure

  7. Half of PD patients may develop a new glucose disorder

    A metaanalysis of nine studies with a total of 13,879 PD patients found that 8% had new-onset diabetes, 15% developed impaired glucose tolerance, and 32% had newly abnormal fasting blood sugar levels. No differences were found by ethnicity. The authors concluded that PD patients should receive glucose tolerance tests.

    Read the abstract » | (added 07/15/2019)

    Tags: Pd, Diabetes, Glucose Tolerance, Blood Sugar Levels, Glucose Tolerance Test

  8. Longer-term Benefits of Early Start PD

    Do people who start PD emergently differ from those with a planned PD start? No, suggests a new study of 154 patients followed for a median of just over a year. Early vs. planned-start patients had similar ages, BMIs, genders, and rates PD drop-out due to peritonitis, catheter dysfunction, and burnout. Only diabetes and BMI >25 were independently associated with PD technique failure—but no differences were found between early and planned starts.

    Read the abstract » | (added 12/14/2018)

    Tags: Emergent Pd, Planned Pd, Early Start Pd

  9. Urgent Start PD + Diabetes

    A retrospective study compared the first 30-day outcomes and survival trends of 80 urgent start dialysis patients, 50 of whom (62.5%) did PD. Compared to those who started standard in-center HD, the dialysis-related complications were significantly lower for those on PD, and PD survival was higher as well. Read the abstract.

    Read the abstract » | (added 10/12/2018)

    Tags: Diabetes, Survival Trends, Urgent Start Dialysis, Pd, In Center Hd, Dialysis Related Complications

  10. Albumin Predicts Survival in Anuric PD Patients

    Patients who don’t make urine have a better chance of survival on PD if their serum albumin levels are 3.6 g/dL or higher, finds a new study of 505 PD patients in Korea. Age, diabetes, ultrafiltration volume, and serum creatinine levels were other factors.

    Read the abstract » | (added 05/11/2018)

    Tags: Survival Predictors, Peritoneal Dialysis