title: Unstable diabetes and peritoneal dialysis--what are the challenges?
abstract: This case study outlines the care of a young woman undergoing peritoneal dialysis (PD) who has Type 1 diabetes mellitus as the underlying cause of her renal disease. Although she is able to manage the practical aspects of her fluid exchanges and exit-site care, she has difficulty with managing her fluid balance. This necessitates the use of two 3.86% glucose bags per day, which in turn sometimes leads to high, unstable, blood glucose levels. This study will outline the nursing challenges and interventions and will evaluate the nursing management.
authors.affiliation: St Bartholomew School of Nursing and Midwifery, Whitechapel, London, UK.
authors.forename: N
authors.initials: N
authors.lastname: Thomas
authors.forename: A
authors.initials: A
authors.lastname: Mahon
mesh_terms: D000328:Adult; D003152:Community Health Nursing; D003922:Diabetes Mellitus, Type 1 / Q000150:complications* / Q000378:metabolism / Q000517:prevention & control*; D003928:Diabetic Nephropathies / Q000209:etiology* / Q000378:metabolism / Q000628:therapy*; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000209:etiology* / Q000628:therapy*; D009720:Nurse Clinicians; D024802:Nurse's Role; D010531:Peritoneal Dialysis, Continuous Ambulatory / Q000379:methods* / Q000451:nursing; D017410:Practice Guidelines as Topic