Preparation of the dialysis patient with type 1 diabetes mellitus for kidney transplantation

Abstract

Kidney transplantation is unique method of renal replacement therapy, allowing to improve quality and duration of life for patients with diabetes mellitus type 1 (DM1) and end-stage renal disease (ESRD) on dialysis therapy. Recently using of innovation technologies for diabetes management and modern immunosuppression enable achieving better results of posttransplant rehabilitation for patients with DM1, especially if kidney transplantation is performed early after initiation of dialysis. Detailed examination of patient with DM1 before potential kidney transplantation is very important to reduce of early and late postoperative complications. Kidney transplantation preparation includes effective glycemic control, adequate dialysis therapy, treatment of diabetes and ESRD complications and concomitant conditions, especially cardiovascular diseases, accounting for kidney transplantation perspective. Furthermore, diagnostics and treatment of any infectious process, timely vaccination, cancer screening are basic approaches of kidney transplantation preparation program, providing the best survival rate of kidney graft and patient.

Diabetic nephropathy: what should cardiologist remember

“…По данным регистра Российского диализного общества (РДО), на 31.12.2018 в Российской Федерации лечение программным ГД получали 42 621 человек, ПД -2585 человек. Среди пациентов с СД (по ранее опубликованным данным РДО) 13,8% составляют находящиеся на лечении ГД и 14,6% -на лечении ПД, хотя реальная потребность такая же, как в развитых странах (30-40%) [4].…”