Diabetes is a systemic metabolic disease, which can influence multiple
organs. If the patients can not control their blood sugar firmly, it will cause
Chronic Renal Failure. Compared with Chronic Renal Failure caused by other
kidney diseases, the renal function aggravates more rapidly for patients with
Diabetes. Therefore, the patients with Diabetes should begin to undergo dialysis
earlier when they have kidney damage. The reasons are as follows:
1. As the patients with Diabetes have a high incidence of blood vessels
diseases, once their creatinine clearance is less than 10~15 ml/min, it will be
difficult for them to control their high blood pressure, which can cause fundus
hemorrhage and life-threatening cardiovascular diseases.
2. Patients with Diabetic Nephropathy usually have protein synthesis disorder
and decline in their total amount of muscle. Therefore, the creatinine level is
not able reflect the accurate the real renal damage.
3. Compared with other End Stage Renal Failure without Diabetes, the patients
with Diabetes have more serious retention of water and sodium, anemia and
systemic toxic symptoms.
In consideration of the above causes, the patients with Diabetes should begin
dialysis earlier. When the patients begin to have early uremic symptoms or have
systemic edema, declined urination and creatinine clearance rate reduce to
15~20ml/min, they should begin to dialysis at once. If the patients control
their blood pressure very well and keep good nutrition condition, it is proper
for them to begin dialysis when their creatinine level decrease to 10~15ml/min.
If the patients with troublesome edema, serious high blood pressure and poor
nutrition condition, they should begin to dialysis earlier.
Therefore, the patients with Chronic Renal Failure caused by Diabetes should
make their specific dialysis plan under their doctors’ guidance and begin
dialysis in early time.