Visual function, blood pressure and blood glucose in diabetic patients undergoing continuous ambulatory peritoneal dialysis.

J Rottembourg, P Bellio, K Maiga, M Remaoun, F Rousselie, M Legrain
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Abstract

Over the last five years, 46 insulin dependent diabetic patients (mean age 52 +/- 13 years) have been treated by continuous ambulatory peritoneal dialysis (CAPD). Fourteen patients have been on treatment for more than two years. Visual acuity assessed every six months showed that improvement has been observed in 14 eyes (19%), stabilisation in 36 eyes (46%), worsening in 17 eyes (21%), five eyes had a minimal function during the entire follow-up. Systolic blood pressure decreased from 173 +/- 42 mmHg at start of dialysis to 149 +/- 30 and 146 +/- 32 after one and two years. Mean fasting and post-prandial blood glucose assessed monthly in 36 patients treated with four daily intraperitoneal injections of insulin (660 determinations) were respectively 7.5 +/- 3.5 and 8.5 +/- 3.5mmol/L.

连续腹膜透析对糖尿病患者视力、血压和血糖的影响。
在过去的五年中,46例胰岛素依赖性糖尿病患者(平均年龄52 +/- 13岁)接受了持续动态腹膜透析(CAPD)治疗。14名患者已经接受了两年多的治疗。每6个月评估一次的视力显示,在整个随访期间,14只眼睛(19%)有改善,36只眼睛(46%)稳定,17只眼睛(21%)恶化,5只眼睛的视力最低。收缩压从透析开始时的173 +/- 42 mmHg降至1年和2年后的149 +/- 30和146 +/- 32。36例每日4次腹腔注射胰岛素的患者(660次)每月平均空腹和餐后血糖分别为7.5 +/- 3.5和8.5 +/- 3.5mmol/L。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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