Glycemic control in dialysis patients
Glycemic control in dialysis patients
The need of antihyperglycemic agent is decreased as the renal impairment get worse
Oral hyperglycemic agent should be avoided in esrd patients
Insulin requirement is reduced 25% at GFR 10-50 ml/min
Insulin requirement is reduced 50% at GFR <10 ml/min
target HbA1c 7.5- 8
target fasting blood sugar 100 to 140mg/dl