Although peritonitis still remains the major cause of PD discontinuation in the general, diabetic patients with poor glycemic control seem to have a increased risk of catheter tunnel and exit-site infections, but not peritonitis.6,51 PD patients with DM are however more predisposed to Coagulase negative staphylococci infections but not Escherichia coli.52 Recent studies have showed that diabetes has not been associated with lower time on PD, and in fact increased in the more recent cohorts.53 Icodextrin-containing solutions seem to have a beneficial effect in this population, leading to reduction of PD discontinuation or transfer to hemodialysis due to volume overload as observed a randomized controlled trial (technique survival rate 71% with icodextrin vs
Reducing body fat while preserving lean muscle may help support better long-term mobility, metabolism, exercise tolerance, and physical strength, especially when combined with adequate protein intake and regular movement
New York, 1991
K.LiB.SandovalD
[PubMed] [Google Scholar] 7.Moolenaar LR, de Waard NE, Heger M, de Haan LR, Slootmaekers CPJ, Nijboer WN, Tushuizen ME, van Golen RF