A new guideline aimed at improving the standards of care for people with diabetes who are treated with dialysis has been released.
The Joint British Diabetes Societies for Inpatient Care (JBDS-IP) has published the document to support hospital teams caring for people with diabetes and kidney disease.
The management of diabetes on dialysis needs to be everybody’s business. Dr Andrew Frankel
The guideline, Management of adults with diabetes on dialysis, is the latest in the series of JBDS-IP guidelines developed to improve the standards of care for people with diabetes in secondary care.
The team behind the guideline included Dr Andrew Frankel, Professor Tahseen Chowdhury, Dr Mona Wahba and Professor Ketan Dhatariya.
Dr Frankel, a Consultant Physician and Nephrologist at Imperial College Healthcare NHS Trust said: “The numbers of people with diabetes who require regular long-term dialysis treatment is increasing year on year in the UK. These individuals have to cope with the significant burden of the dialysis process, undertaking dialysis on a daily basis at home or attending hospital three times a week.
“The provision of good quality diabetes care for these individuals is often neglected because of the rigourous demands of dialysis and because of lack of clarity as to who is managing and how to manage the diabetes. The management of diabetes on dialysis needs to be everybody’s business if you are involved in the care of these individuals in whatever environment they are in and this comprehensive guideline should be the foundation on which dialysis units can better support people with diabetes and improve their care and quality-of-life. “
As part of the update, the guidance has been expanded to include people with diabetes on peritoneal dialysis.
In addition, the new guideline includes a major revision on the section on glycaemic monitoring and targeting which takes into account the significant technological advances that have been made in relation to glucose monitoring.
The section on complications now also includes subsections relating to diabetic ketoacidosis and eye complications.
To download the guideline, click here.