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Volume 306:625-630 March 18, 1982 Number 11 Next

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Abstract

Twenty diabetics with end-stage renal disease who had never previously received dialysis treatment were treated with continuous ambulatory peritoneal dialysis for periods of two to 36 months (average, 14.5). Intraperitoneal administration of insulin achieved good control of blood sugar. Even though creatinine clearance decreased significantly (P = 0.001), control of blood urea nitrogen and serum creatinine was adequate. Hemoglobin and serum albumin levels increased significantly (P = 0.005 and 0.04, respectively). Similarly, there was a significant increase in serum triglycerides and alkaline phosphatase (P = 0.02 and 0.05). Blood pressure became normal without medications in all but one of the patients. Retinopathy, neuropathy, and osteodystrophy remained unchanged. Peritonitis developed once in every 20.6 patient-months--a rate similar to that observed in nondiabetics. The calculated survival rate was 93 per cent at one year; the calculated rate of continuation on ambulatory peritoneal dialysis was 87 per cent. We conclude that continuous ambulatory dialysis with intraperitoneal administration of insulin is a good alternative treatment for diabetics with end-stage renal disease.

This article has been cited by other articles:

• Szeto, C.-C., Chow, K.-M., Leung, C.-B., Kwan, B. C.-H., Chung, K.-Y., Law, M.-C., Li, P. K.-T. (2007). Increased subcutaneous insulin requirements in diabetic patients recently commenced on peritoneal dialysis. Nephrol Dial Transplant 22: 1697-1702 [Abstract] [Full Text]  
• Cameron, J S. (2003). Fifty years of established diabetic nephropathy -- a personal perspective. British Journal of Diabetes & Vascular Disease 3: 8-16  
• Goldberg, J.P., Contiguglia, S.R., Klein, M., Mishell, J. (1983). Continuous Ambulatory Peritoneal Dialysis as a Treatment For Diabetic Patients With End Stage Renal Disease. The Diabetes Educator 9: 13-15