Keywords
Chronic Kidney Disease
Dialysis
Hospital Hemodialysis Units
Blood Glucose
Insulin
How to Cite
Abstract
Context: Use of intermittent glucose monitoring in patients undergoing hemodialysis.
Objective: To describe the behavior of glucose through intermittent monitoring in patients with chronic kidney disease undergoing hemodialysis.
Methodology: An observational prospective study. Patients with chronic kidney disease of different causes undergoing hemodialysis were included. The glucometer readings results were analyzed before and during the hemodialysis session in 85 hospitalized patients; the glucometer readings values on the day of hemodialysis were studied in 47 outpatient patients.
Results: For this study, 132 patients were included, with a median age of 61 years, 54.5% female, most of them from Neiva, Huila. 93.9% had a history of hypertension, 63.6% had anemia, and 53.8% had diabetes mellitus, with an average time of renal replacement therapy of 3.05 years. The average glucometer reading at the start of hemodialysis was 18.9 mg/dl higher, compared to the post-dialysis value among patients with diabetes and only 14.0 mg/ dl in patients without diabetes. Regardless of the history of diabetes mellitus, the behavior of the glucometer readings was similar, with higher values at the start of therapy, followed by a subsequent decrease with few records of hypoglycemia.
Conclusions: In patients with chronic kidney disease on hemodialysis, intermittent capillary glucose monitoring shows an intradialytic decrease with subsequent elevation at the end of renal replacement therapy.
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