With the changing of life styles, more and more people are diagnosed with Diabetes. As a result, the dialysis rate in the patients with Diabetes also increases. Hemodialysis and peritoneal dialysis are two dialysis methods for the patients. Then which one is better for the patients with Diabetes?
Both of hemodialysis and peritoneal dialysis have its advantage and
It is very difficult for the patients with Diabetes to maintain long-term
peritoneal dialysis. As peritoneal dialysis is very likely to induce infection,
especially peritonitis, it can decline the therapeutic effect to the patients.
Moreover, there is a large amount of glucose in the peritoneal fluid. It can
disorder the blood glucose balance thus make it difficult control blood glucose.
As a result, the incidence of obesity and high fat will increase. Peritoneal
dialysis usually operated by the patients themselves. However, many patients
with Diabetes have visual disturbance, which can influence the operation of
Hemodialysis also can bring many troubles for the patients with Diabetes. As
the patients with Diabetes often are complicated with vascular diseases, it can
often block vascular access and shorten the usage age of internal fistula.
Moreover, in hemodialysis, the patients need to use heparin to prevent blood
coagulation. As a result, the patients with Diabetes on hemodialyis are very
likely to have severe cerebral hemorrhage and fundus hemorrhage. As the patients
with Diabetes often have neurological abnormalities, the incidence of
hypotension among the dialysis patients is very high. Hemodialysis also can lead
to hemodynamic abnormalities. If the patients with Diabetes are complicated with
server cardiovascular diseases, hemodialysis will aggravate the primary
In a conclusion, peritoneal dialysis just has a mild influence on
haemodynamics and also can clear the moderate molecular toxic substance in the
blood. Moreover, in peritoneal dialysis, the patients can get insulin from
dialysis fluid directly and do not need subcutaneous injection of insulin, which
is more convenient and can decline their sufferings greatly. Moreover,
peritoneal dialysis does not need heparin so it can decline the incidence of
fundus hemorrhage and cerebral hemorrhage. Therefore, if the patients with
Diabetes complicated with severe cerebrovascular diseases, peritoneal dialysis
is their better choice. However, if they keep physique very well and have good
blood vessels, they also can consider using hemodialysis.
Therefore, the patients with Uremia caused by Diabetes should consider their
disease condition comprehensively and then decide which type of dialysis method
is better for them.