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Perit Dial Int 27(Supplement_2): 190-195
2007
© 2007 International Society for Peritoneal Dialysis
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Part 5: PD in Pediatric, Elderly, and Diabetic Patients

PERITONEAL DIALYSIS IN PATIENTS WITH DIABETES: ARE THE BENEFITS GREATER THAN THE DISADVANTAGES?

Satoru Kuriyama

Division of Nephrology, Saiseikai Central Hospital, Tokyo, Japan

Correspondence to: S. Kuriyama, Division of Nephrology, Saiseikai Central Hospital, 1-4-17, Mita, Minato-ku, Tokyo 108-0073 Japan. kuriyamas{at}jikei.ac.jp

Diabetic nephropathy has been increasing in prevalence in recent years, and it is now the dominant cause of end-stage renal disease (ESRD) worldwide. Because diabetes is frequently associated with multiple complications, nephrologists must be alert to the selection of dialysis modality so as to reduce the accompanying risks. The present review addresses whether the benefits of peritoneal dialysis are greater than its disadvantages in diabetic patients. The answer is quite positive: for most diabetic patients, peritoneal dialysis offers multiple benefits.

KEY WORDS: Diabetes; survival; diabetic retinopathy; icodextrin.






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