The patient with diabetes type 2 and obesity on the peritoneal dialysis programme — case study

Abstract

The reins diabetical disease state complication both diabetes type 1 how and type 2. The number of elderly people with diabetes type 2 complicated with chronic renal disease grows up in Polish population. In case of progression of disease (GFR 20 ml/min/1.73 m²) the necessity of beginning sets the dializotherapy, and the method with choice is the continuous home peritonaeal dialysis (CHPD). Patients with obesity, with confirming interview crossed operating interventions, make up special group, at which these two factors make up the risk of limitation of effectiveness the chosen method of treatment. The diabetic patient (diabetes type 2) with obesity and chronic renal failure was being described during 26 years of duration of the disease (1988–2014), treated from 4 years with the peritonaeal dialysis (initially the CHPD, and then the ADO). He required the individualization of programme of treatment. However the adequate got in process of modification of pattern of the dialysis and the technician of the method did not solve all problems. In the treatment of older patients, especially with diabetes and renal failure, the additional difficulty is the programme of treatment of diabetes and complications.