A Survey of Diabetics in the CAPD/CCPD Population View Full Text


Ontology type: schema:Chapter     


Chapter Info

DATE

1989

AUTHORS

Anne S. Lindblad , Joel W. Novak , Karl D. Nolph

ABSTRACT

A survey of CAPD/CCPD patients with end-stage renal disease attributed to diabetes mellitus carried out by the USA NIH CAPD Registry, obtained results from 499 patients. These data suggest in diabetics with renal insufficiency, the time interval from age at diagnosis of diabetes to initiation of dialysis decreases as the age of diagnosis increases. Mean interval from the time of diabetes diagnosis to CAPD or CCPD initiation was 25 years for patients < 20 years of age at diagnosis and 17 years for patients ≥ 30 years of age. This trend is independent of the type of diabetes management and appeared to be independent of the type of diabetes. Patients were categorized on the basis of pre- and post-CAPD management of hyperglycemia. There were several associations noted between type of diabetes therapy and clinical findings. A higher proportion of legally blind patients had used insulin only (33%) compared to patients never using insulin (10%), and 78% of patients using insulin only were white compared with 49% among the never on insulin group. This latter result indicates that race influences the type of diabetes and/or progression of diabetes to renal insufficiency. Patients on insulin only reported parents and/or siblings with diabetes less often than patients using insulin and oral agents, some insulin, and never any insulin to manage their diabetes. We also noted that peritonitis rates are not increased in those patients who added insulin to dialysis solutions. More... »

PAGES

63-73

Book

TITLE

Continuous Ambulatory Peritoneal Dialysis in the USA

ISBN

978-94-010-6908-3
978-94-009-0931-1

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/978-94-009-0931-1_6

DOI

http://dx.doi.org/10.1007/978-94-009-0931-1_6

DIMENSIONS

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