New recommendations on dialysis now available

The Joint British Diabetes Societies for Inpatient Care (JBDS-IP) used newly available evidence and expert consensus to update the ‘Management of adults with diabetes on dialysis’ guideline.

The latest guidance has been developed to include people with diabetes on peritoneal dialysis. The update also includes amendments on the glycaemic monitoring and targeting section which considers the technological advancements that help monitor glucose levels.

Additionally, the section on complications now also includes subsections relating to diabetic ketoacidosis and eye problems.

Main author Dr Andrew Frankel, a Consultant Physician and Nephrologist at Imperial College Healthcare NHS Trust, said: “The numbers of people with diabetes who require regular long-term dialysis treatment is increasing year on year in the UK.

“These individuals have to cope with the significant burden of the dialysis process, undertaking dialysis on a daily basis at home or attending hospital three times a week.”

He added: “The provision of good quality diabetes care for these individuals is often neglected because of the rigorous demands of dialysis and because of lack of clarity as to who is managing and how to manage diabetes.

“The management of diabetes in dialysis needs to be everybody’s business if you are involved in the care of these individuals in whatever environment they are in, and this comprehensive guideline should be the foundation on which dialysis units can better support people with diabetes and improve their care and quality-of-life.”

Other authors listed on the updated guideline include Professor Tahseen Chowdhury, Professor Ketan Dhatariya and Dr Mona Wahba.

To access the recommendations, click here.

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