Diabetics on dialysis in Italy: a nationwide epidemiological study

Abstract

The present study demonstrates that the prevalence of diabetics in dialysis continues to increase in Italy, but remains less than that in Northern European countries. Type 2 diabetes is as dangerous as type 1 in terms of serious complications. There appears to be a greater awareness on the part of nephrologists of the serious problems associated with the care of diabetic patients in dialysis. The ideal dialytic modality has not been determined, dialysis is often not initiated in a timely manner and optimal drug therapy is not always prescribed. The aspirations to treat the diabetic dialysis patient according to currently accepted best practice guidelines still need to be fully realized.

Renal Replacement Therapy in Uremic Diabetic Patients – Experience from The Republic of Macedonia

“…Atkins and P. Zimmet in their paper: Diabetic kidney disease: act now or pay later [76] point out the importance of a better understanding of the global pandemic of type 2 diabetes and diabetic kidney disease. They suggest that it is necessary to alert governments, health organizations, providers, doctors and patients to the increasing health and socioeconomic problems due to diabetic kidney disease and its sequels: end-stage kidney disease requiring dialysis, and cardiovascular death.…”

“…Thus the use of an ACE inhibitor or ARB is now standard therapy for patients with diabetic nephropathy, as well as glucose, lipid and blood pressure control." [76] 12.1 How should we act now?…”

“…Basic research and clinical trials searching for a new understanding and therapies must be supported." [76] In our country we should work harder on the prevention of diabetic kidney diseases, to stop or postpone the development of CKD and chronic renal failure with modern therapy and the need for RRT.…”

Cardiovascular Complications in Diabetic Patients Undergoing Regular Hemodialysis

“…1 According to the United States Renal Data System (USRDS), there is more than a 2-fold increase in the annual incidence of diabetic patients who require renal replacement therapy (RRT). 2 Similar trends have been reported from other countries.…”

Diabetics on hemodialysis in El-Minia Governorate, Upper Egypt: five-year study

“…It comprises 4-8% of the general population and up to 45% of new dialysis patients in industrialized countries [1]. Diabetic nephropathy (DN) is a progressive disease and occurs as the result of direct and indirect effects of hyperglycemia.…”