Detection Impact ofHemodialysis inRegulation of Glucose Level inTwo Groups ofUremic Patients (Diabetic andNon-Diabetic)

Abstract

Dialysis and end-stage renal illness have opposing effects that might cause significant changes in glucose levels.A total of 100 uremicpatients that were subjected to hemodialysis were tested to determine level of glucose, the uremic patients were in two groups diabetic and non-diabetic with consideration that the patients might be taking insulin or diabetes medication and eating before or during hemodialysis. The study aims to evaluate the effect of hemodialysis on the diabetic uremic patient in relation to the non-diabetic uremic patient by measuring blood glucose level for both study groups. The results show the distribution of patients studied according to study groups. Non diabetic Patients constitute 65 % and 35% of the cases are diabetic. The results also show the distribution of patients according to sex. Could be seen a predominance of male sex, represented by 54% of those studied and 46% are females. Hypoglycemia during dialysis was observed for most of non-diabetic dialyzed patients and only 3 (4.6%) of those was developed hyperglycemia. Only 11 of 35 diabetic patients (31.4%) experienced hyperglycemia at the conclusion of the HD session, necessitating a rise in insulin dosage. Conclusion: Dialysate glucose tends to rise during HD sessions, exception for some diabetic and non-diabetic patients who experience blood glucose decreases that may be symptomatic or asymptomatic. Dialysate glucose tends to decrease