Diabetic nephropathy is how to choose dialysis? What precautions?

Diabetic nephropathy is how to choose dialysis? What precautions? For this problem, a lot of kidney patients want answers and the treatment of diabetic nephropathy first or control diabetes, and to avoid the occurrence of kidney disease. The level of glycemic control in diabetic nephropathy and diabetic eye ... To be selected according to the disease and specific conditions.
Peritoneal dialysis: diabetic nephropathy peritoneal ... for diabetic nephropathy, how to choose dialysis do? What precautions? Powered by doctors to organize relevant content, for reference:
Diabetic nephropathy is how to choose dialysis do? To be selected according to the disease and specific conditions.
A peritoneal dialysis: peritoneal dialysis for diabetic nephropathy year survival rate was 80% to 90%. Avoid the path of the blood vessels; the cardiovascular system is more stable, better blood pressure control; retinopathy can get a steady improvement; through the abdominal cavity injection of insulin, blood sugar to get a better control; high clear of middle molecular substances; peritoneal dialysis operation more convenient, the patient can handle their own. Peritoneal dialysis daily loss of protein l0g, pay attention to protein intake. Prone to abdominal infection after infection, easy to shadow noon dialysis effect.
Hemodialysis: diabetic nephropathy in patients with long-term hemodialysis, 1-year survival rate of more than 80%. Older, serious condition acceptable to the dialysis treatment. Dialysis in advance, less uremic complications; where the pre-dialysis and dialysis process, better control of blood pressure, attention to fluid balance, to ensure a reasonable nutrition, the survival rate of patients will improve. Hemodialysis process can also be some problems, such as poor vascular pathways, large fluctuations in blood pressure, worsening retinopathy and even blindness and a variety of cardiovascular complications.
In short, the effect can not be advanced diabetic nephropathy in renal transplantation, ambulatory continuous peritoneal dialysis than hemodialysis better. Consider peritoneal dialysis, dialysate glucose was partially absorbed by hypertonic dialysate induced hyperosmolar coma, so pay attention to the use of insulin dose adjustment, while avoiding hypoglycemia. However, the possibility of peritonitis in peritoneal dialysis when compared with non-diabetic patients, should pay close attention to actively prevent infection.