糖尿病血液透析患者透析中之血液動力學變化和血糖控制

The Intradialysis Hemodynamic Change and Sugar Control in Diabetic Hemodialysis Patients

糖尿病腎病變在許多國家中，都是造成末期腎病變的最主要原因，包括臺灣。糖尿病患者常在血液透析中發生嚴重血液動力學變化。腎友血壓時常快速下降，造成腎友透析不適。血糖之代謝在糖尿病腎友有極大的改變，因此血糖的控制也是糖尿病腎友的一大問題。隨著糖尿病患者的快速成長，上述兩個問題更形重要，本文將簡介糖尿病血液透析患者透析中之血液動力學變化和血糖控制。

Diabetic nephropathy is the leading cause of end-stage renal disease in many countries, including Taiwan. Diabetic patients characteristically experience more hemodynamic change during hernodialysis treatments. Hypotension develops rapidly and frequently in these patients. This problem becomes increasingly important as the growing population of diabetic patients are receiving (OR- are being maintained with HD treatments) maintenance hemodialysis. Sugar control also is a major issue for diabetic hemodialysis patients, since the glucose metabolism in the diabetic uremic patient is greatly altered. The alteration of the metabolic process in these patients has made daily control of blood sugar a difficult task in the care of the diabetic uremic patient. We reviewed the intra-dialytic hemodynamic change and sugar control in diabetic patients undergoing regular hemodialysis.