Défis dans la prise en charge du diabète en hémodialyse chronique [Challenges in managing diabetes in chronic hemodialysis]

Details

Serval ID
serval:BIB_3C34A5DC9916
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Défis dans la prise en charge du diabète en hémodialyse chronique [Challenges in managing diabetes in chronic hemodialysis]
Journal
Revue medicale suisse
Author(s)
Lamine F., Chtioui H., Schwotzer N., Pruijm M., Nobre D., Phan O., Ammor N., Andrey M., Grangier-Bernard P., Zanchi A.
ISSN
1660-9379 (Print)
ISSN-L
1660-9379
Publication state
Published
Issued date
29/05/2019
Peer-reviewed
Oui
Volume
15
Number
653
Pages
1132-1139
Language
french
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
Hemodialysis (HD) centers are facing an increasing number of patients with diabetes. These cases require an intensive multidisciplinary approach of the consequences of renal failure, glycemic control and nutrition and the management of frequent co-morbidities, in particular the diabetic foot. A major challenge is to decrease glycemic variability and the risk of hypoglycemia. Because of increased risk of hypoglycemia-associated mortality, the HbA1C target is loosened in the majority of HD patients. Continuous glucose monitoring technology has identified important glycemic fluctuations during and after dialysis. However, their reliability in HD needs to be improved. New therapeutic pathways that decrease glucose excursions and hypoglycemia, such as GLP1 receptor agonists and sensor-coupled insulin pumps, have yet to be validated in HD.
Keywords
Blood Glucose, Blood Glucose Self-Monitoring, Diabetes Complications/therapy, Diabetes Mellitus/drug therapy, Glycated Hemoglobin A, Humans, Hypoglycemic Agents/therapeutic use, Insulin/therapeutic use, Kidney Failure, Chronic/complications, Kidney Failure, Chronic/therapy, Renal Dialysis, Reproducibility of Results
Pubmed
Create date
18/06/2019 16:11
Last modification date
20/08/2019 13:32
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