[Problems of monitoring metabolism of type I diabetics undergoing hemodialysis treatment].
The metabolic control of nephropathic type I diabetics dependent on dialysis is especially difficult and can be rendered more difficult by the procedure of haemodialysis, mainly due to the use of glucose-free dialysis fluid. The blood glucose level is reduced, resulting in hypoglycaemia. The purpose of this study was to compare the effects of various methods of compensating for the glucose loss on blood glucose homoeostasis. 5 dialysis-dependent type I diabetics on equal supplies of carbohydrates and insulin received extra glucose in the dialysis fluid and as infusions before and after dialysis. All 3 experimental regimens prevented reduction of the blood glucose level due to dialysis, without any significant differences between them. The choice of method can be made according to the dialysis equipment used.
D000328:Adult; D001786:Blood Glucose / Q000032:analysis*; D003922:Diabetes Mellitus, Type 1 / Q000628:therapy*; D005260:Female; D005947:Glucose / Q000008:administration & dosage; D006801:Humans; D007263:Infusions, Parenteral; D008297:Male; D008875:Middle Aged; D006435:Renal Dialysis
D001786:Blood Glucose; D005947:Glucose
Probleme der Stoffwechselführung bei Typ-I-Diabetikern unter der Hämodialyse-behandlung.