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Journal of Nursing : Diabetic Patients

  • Managing Diabetic Patients on Dialysis: The Nurse and Practitioners Role in Multidisciplinary Team Essentials 
    By: Dr. Gary D. Goldberg, PhD Clinical Professor of Medical Education, and Consultant Angeles College of Nursing, Los Angeles, California
    The chronic state of diabetes mellitus (DM) mainly type II, is an increasingly common cause of end stage renal disease (ESRD) in all countries, accounting for 51% of dialysis patients in the U.S. and 39% in Europe. Patient survival is much worse than for non-diabetic patients, with a large proportion of patients dying within the first 3 months of dialysis (excluded from USRDS data). In North America, chronic diabetes (e.g., poorly controlled), has shown as a major cause of death associated with cardiovascular diseases. Usually the outcome is better for transplanted patients.
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