Stage 5: ESRD
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(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...)
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- 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
