Glycemic variability in hemodialysis patients: implications, characteristics and interventions

Q4 Nursing

中华临床营养杂志 Pub Date : 2018-02-28 DOI:10.3760/CMA.J.ISSN.1674-635X.2018.01.010

Hua Zheng, Ying Ma

引用次数: 0

Abstract

Glycemic variability is an important indicator for glycemic control and an independent risk factor for cardiovascular events and overall mortality in type 2 diabetes. Hemodialysis patients have greater challenge controling glycemic variability because patients of end-stage renal disease generally have more "brittle" glycemic hemostasis and dialysis itself may cause extra disturbance. In this article, we present an overview on the characteristics, cause, potential damage, and intervention of glycemic variability in hemodialysis patients. Key words: Hemodialysis; Diabetes; Hypoglycemia; Glycemic variability; Dialysis-induced hyperglycemia

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血液透析患者的血糖变异性：意义、特征和干预措施

血糖变异性是血糖控制的重要指标，也是2型糖尿病心血管事件和总死亡率的独立风险因素。血液透析患者在控制血糖变异性方面面临更大的挑战，因为终末期肾病患者的血糖止血通常更“脆弱”，透析本身可能会引起额外的干扰。在这篇文章中，我们概述了血液透析患者血糖变异性的特点、原因、潜在损害和干预措施。关键词：血液透析；糖尿病；低血糖；血糖变异性；透析引起的高血糖

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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来源期刊

中华临床营养杂志 Nursing-Nutrition and Dietetics

CiteScore

0.20

自引率

0.00%

发文量

2282

期刊介绍： The Chinese Journal of Clinical Nutrition was founded in 1993. It is the first professional academic journal (bimonthly) in my country co-sponsored by the Chinese Medical Association and the Chinese Academy of Medical Sciences to disseminate information on clinical nutrition support, nutrient metabolism, the impact of nutrition support on outcomes and "cost-effectiveness", as well as translational medicine and nutrition research. It is also a professional journal of the Chinese Medical Association's Parenteral and Enteral Nutrition Branch. The purpose of the Chinese Journal of Clinical Nutrition is to promote the rapid dissemination of knowledge on nutrient metabolism and the rational application of parenteral and enteral nutrition, focusing on the combination of multidisciplinary and multi-regional field investigations and clinical research. It mainly reports on nutritional risk screening related to the indications of parenteral and enteral nutrition support, "cost-effectiveness" research on nutritional drugs, consensus on clinical nutrition, guidelines, expert reviews, randomized controlled studies, cohort studies, glycoprotein and other nutrient metabolism research, systematic evaluation of clinical research, evidence-based case reports, special reviews, case reports and clinical experience exchanges, etc., and has a special column on new technologies related to the field of clinical nutrition and their clinical applications.