What are the options for renal replacement therapy for diabetic nephropathy?

Updated: Oct 09, 2019
  • Author: Vecihi Batuman, MD, FASN; Chief Editor: Romesh Khardori, MD, PhD, FACP  more...
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Answer

In principle, diabetic patients who require renal replacement therapy have the following 4 options:

  • Refusal of further treatment for uremia, leading to a progressive decline in general health and ultimately leading to death

  • Peritoneal dialysis (eg, machine-assisted intermittent peritoneal dialysis, continuous ambulatory peritoneal dialysis, continuous cyclic peritoneal dialysis)

  • Hemodialysis (eg, facility hemodialysis, home hemodialysis)

  • Renal transplantation (eg, cadaver donor kidney, living related-donor kidney, living unrelated-donor kidney [emotionally related donor], living unrelated-donor kidney [unrelated by family or emotionally; the so-called altruistic donor], pancreas plus kidney transplantation)


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