Diabetes is the main cause of chronic kidney disease and especially kidney failure. For patients with diabetic kidney disease, it is very important to have good control of their diabetes and kidneys in order to live a healthy life. This includes following a specific diet and proper management and control of their sugar levels which will lead to fewer complications for diabetes complications and a better quality of life.
Diabetics on dialysis
Controlling the Sugar Levels of Diabetes
Not only following a specific diet but also regulating the correct intake dosage of diabetes medicine as well as having good control over salt and fluid intake. Another aspect that helps for better management of sugar levels is the correct use of dialysis solutions.
Peritoneal dialysis is a good choice for patients with both chronic kidney disease and diabetes. Good monitoring and management will help them reach the sugar levels they should have with not many obstacles.1
Since every patient is different and has a different health situation, it is very important that each patient follow the individual health instructions given by their doctor. In order for the patient to control their sugar levels, there are daily steps to be followed given by their doctor. This includes eating correctly according to a nutrition plan, taking the prescribed medication as instructed, testing and tracking the blood sugar levels, staying active, keeping a healthy weight, etc. 2
How Diabetes leads to Kidney Disease
One of the side effects of diabetes is that it damages and weakens the blood vessels in the kidneys which causes the kidneys to not work as well as it should. This means that the waste and toxins in the patient’s body are not filtered as it is supposed to. The decrease in kidney function can cause kidney disease or at a later stage even kidney failure. Since diabetes patients often also have high blood pressure, this can also lead to chronic kidney disease. 3
Dialysis Treatment for Kidney Disease
For a patient receiving dialysis for kidney disease, the treatment could either affect their diabetes or not. For diabetes patients receiving hemodialysis, the treatment will not affect the blood sugar levels. Any changes in blood sugar levels during hemodialysis could be caused by either the patient’s diet or a change in the routine of dialysis. But for diabetes patients receiving peritoneal dialysis the patient’s blood sugar levels will be affected by their treatment since the peritoneal dialysis dialysate contains a sugar called dextrose. 4 This dextrose solution supports in removing extra fluid from the patient’s blood and at the same time decreases the patient’s blood sugar levels. 5
- https://www.davita.com/treatment-services/peritoneal-dialysis/diabetes-and-peritoneal-dialysis#:~:text=Blood sugar is usually managed,your sugar levels under control.
Picture 2 & 3: Adobe Stock