Management of patients with type 2 diabetes on peritoneal dialysis

Outcomes of patients with diabetes on peritoneal dialysis (PD) are strongly influenced by cardiovascular and other vascular complications, which are directly related to poor glycemic control. These patients are dialyzed with conventional glucose-containing PD solutions, and the glucose that diffuses into the patients' circulation leads to further risk of poor glycemic control, increasing the risk of vascular complications and death. The central objective for managing patients with diabetes undergoing PD treatment is to develop strategies that reduce complications and improve quality of life through proper glycogenic control and reduction of peripheral insulin resistance.