Masafumi Fukagawa
Japan
Case Report
Continuous Glucose Monitoring Effects on Blood Glucose Management in Diabetic Patients on Hemodialysis-Results in the Patients from Single Hospital
Author(s): Moritsugu Kimura, Masao Toyoda, Nobumichi Saito, Yosuke Nakagawa and Masafumi FukagawaMoritsugu Kimura, Masao Toyoda, Nobumichi Saito, Yosuke Nakagawa and Masafumi Fukagawa
Objective: Diabetic patients on hemodialysis (HD) are prone to develop treatment-related serious hypoglycemia due to poor renal clearance of insulin and augmented drug efficacy, often resulting in withdrawal of insulin. Consequently, many patients are erroneously switched to oral glucose-lowering agents or diet therapy alone, without self-monitoring of blood glucose (SMBG). Therefore, we hypothesized that continuous glucose monitoring (CGM) may be useful for optimizing glycemic control and clinical management in diabetic patients on HD. Methods: In this study, 8 type 2 diabetic patients on HD who did not use SMBG after withdrawal of insulin and start of oral glucose-lowering agents, were recruited to measure and evaluate blood glucose with CGM. These patients thought to be controlled within glycemic control target proposed by the Japanese Society for Dialysis Therapy. Predialysis casu.. View More»
