How long on diabetics on dialysis sustain?
USRDS findings in 2004 suggest that 5 year average survival rate for Diabetic Nephropathy patients on dialysis is 15-33.6 percent, which is much lower that in hypertensive kidney failure 42%, glomerularnephritis 53% and other diseases-43%.
Survival rate also differs among those on peritoneal dialysis and hemodialysis. According to Heaf research, 2 year morbidity rate among diabetics on PD is higher than those on HD; but in later years, as with residual kidney function decreasing quickly, the advantage of PD disappears. Van Bisssen reports suggest that those who initially do PD and later change to HD after kidney function is totally lost have a higher survival rate than those who have been from the beginning continuously doing HD.
What factors affect prognosis in diabetic kidney failure patients?
For diabetics on dialysis, daily care nursing, the controlling of complications and treatment approaches are the most important aspects that affect prognosis.
﹡Diabetes as a systemic disease often combines other vascular diseases in end-stage kidney failure, for instance, diabetic retinopathy, cardiovascular disease, foot damage, etc. Those who can control blood glucose well with least complications can predict a better prognosis than others.
﹡Long-term insufficiency of dialysis affect prognosis. Metabolic wastes in the body can be categorized into micro, middle and macro molecular ones. Dialysis can only remove the micromolecular substances. In view of long-term, middle and macro molecular wastes can cause dangerous complications to body systems such as brain and heart. That’s why recently blood purification techniques have driven attention to improve life expectancy in kidney failure.
﹡Nursing care also matters. Diabetics with low immunity and high blood glucose make them more prone for infections. Dietary nutrient supplement should be ensured, sodium intake controlled and liquid consumption balance are all important daily care points.
﹡Effective treatment is the most important way to boost life. By way of treating the kidneys and repairing injured kidney tissues, diabetics have chance to improve their kidney condition, relive from complications and improve life expectancy. Treatment from Micro-Chinese Medicine and Immunotherapy bring a chance to treat kidneys, hopefully to reduce dialysis intervals if not started it long, and decrease dialysis intervals for those on years of dialysis.
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