Stage 5: ESRD
出自KMU Wiki
(修訂版本間差異)
在2018年3月13日 (二) 17:36所做的修訂版本 (編輯) Guhjy (對話 | 貢獻) (新頁面: *15-30th year *Brittle diabetes **''Large swings in plasma glucose level'' **More often low plasma glucose level or hypoglycemia due to ***Insulin degradation ↓ ***Renal gluconeogene...) ←上一個 |
當前修訂版本 (2018年3月13日 (二) 17:36) (編輯) (撤銷) Guhjy (對話 | 貢獻) (新頁面: *15-30th year *Brittle diabetes **''Large swings in plasma glucose level'' **More often low plasma glucose level or hypoglycemia due to ***Insulin degradation ↓ ***Renal gluconeogene...) |
當前修訂版本
- 15-30th year
- Brittle diabetes
- Large swings in plasma glucose level
- More often low plasma glucose level or hypoglycemia due to
- Insulin degradation ↓
- Renal gluconeogenesis ↓
- Thus, diabetic patients with decreasing plasma glucose levels may sometimes suggest declining renal function
- Less often high due to insulin resistance ↑
- Both DM and end-stage renal disease are systemic dis.
- Microangiopathy, retinopathy, neuropathy, macroangiopathy (cardiovascular disease, atherosclerosis, coronary heart disease), hyperlipidemia, foot ulcer
- Dialysis is indicated at an earlier stage (serum creatinine ≥ 5~6 mg/dl) than the other uremic p'ts
- Morbidity and mortality are higher than other ESRD p’ts
- Renal transplantation