Challenges in the management of renal dialysis in diabetic patients: a prospective study

Abstract

This study examines the challenges associated with managing diabetic patients undergoing renal dialysis in the nephrology department. The primary objective is to address the difficulties encountered during dialysis by improving its management, preventing the progression of chronic kidney disease to end-stage renal failure, and systematically reviewing the indications for and complications of dialysis. Managing dialysis in diabetic patients is particularly complex due to the added burden of diabetes-related issues. These patients often experience higher rates of infections, increased cardiovascular morbidity, and elevated mortality risks. Other challenges include fluid overload, complications arising from the dialysis procedure itself, psychological distress, and a diminished quality of life. These interconnected issues necessitate a comprehensive and multidisciplinary approach to improve patient outcomes. To enhance the quality of life for patients with diabetic nephropathy, it is crucial to involve a team of specialists. The multidisciplinary team should include a diabetologist, nephrologist, dietitian, microbiologist, vascular surgeon, and interventional radiologist. Each specialist contributes unique expertise to address the various complications and facets of care, ranging from infection control to vascular access and dietary management. Ultimately, overcoming the challenges of managing diabetic patients on dialysis requires collaboration, innovation, and a commitment to improving their overall health and well-being through tailored care strategies.