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Published on: June 11, 2012
Interdialytic weight gain in diabetic haemodialysis patients and diabetic control as assessed by glycated haemoglobin
1UCL Center for Nephrology, Royal Free and University College Medical School, London, UK. andrew.davenport@royalfree.nhs.uk
Background:
Cardiovascular morbidity and mortality is increased in diabetic haemodialysis patients. Diabetic subjects may suffer greater thirst and thereby be predisposed to increased interdialytic weight gains and hypertension.
Methods:
175 established adult diabetic haemodialysis patients attending outpatient haemodialysis thrice weekly were audited during a 1-week interval.
Results:
Despite fewer patients prescribed antihypertensive medications (46%), the mean pre-dialysis systolic blood pressure was lowest in those patients with the lowest HbA1c values (
Conclusions:
Poor diabetic control may increase thirst and salt intake, leading to increased interdialytic weight gains, associated with systolic hypertension, and as such, diabetic control is an important facet in the management of the diabetic haemodialysis patient.
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