Review Article

Peritoneal Dialysis in Diabetics: There Is Room for More

Table 1

Potential benefits and risks of PD in the treatment of diabetic patients.

General PD benefitsSpecific PD benefits in diabeticsPD risks in diabetics

(1) Home-based continuous therapy(1) Sustained daily ultrafiltration(1) Fluid overload
(2) Advantages in lifestyle(2) Better preservation of residual renal function(2) Aggravated dysregulated metabolic response to glucose
(3) Avoids vascular access related infections(3) Vascular capital preservation(3) Hyperinsulinemia
(4) Avoids recurrent circulatory stress(4) Avoids peripheral and coronary steal syndromes(4) Central obesity
(5) Avoids myocardial stunning(5) Fewer episodes of hypotension(5) Dyslipidemia
(6) Fewer episodes of blood-borne disease(6) Better blood pressure control(6) Peritoneal albumin losses
(7) More liberal diet (in spite of fluid and Na restriction)(7) No need for systemic anticoagulation(7) Peritoneal infection
(8) Control of anemia with lower doses of erythropoietin(8) Fewer episodes of progressive retinopathy(8) Membrane fast transport status
(9) Lack of pain from needle puncture(9) Feasibility of elective intraperitoneal insulin
(10) Lower rate of delayed renal graft function