Glucose control during hemodialysis 65 years old Mr Ram, has been on hemodialysis since last 1 year. He developed end-stage renal disease due to long-standing type 2 diabetes mellitus. During his last dialysis, he had an episode of generalized tonic-clonic seizure, at which point his dialysis was immediately stopped and was stabilized. His capillary glucose measured with the glucometer showed severe hypoglycemia (Glucose=26mg/dl). He was treated with IV Dextrose and was stabilized. Now the questions which come to mind are could this be avoided?
Could this be life threatening? Does hypoglycemia occur frequently during hemodialysis? How do we monitor and prevent it? These are some of the questions that we would try and answer in this article. Hypoglycemia in dialysis patients- a threat for life In patients with diabetes-related ESRD (end-stage renal disease) on hemodialysis, blood glucose…
