Diffenreces in mia related factors between hyperglycemic and normoglycemic dialysis patients

• Main Authors: Miho Suzuki, Ikuto Masakane, Mika Nakajima, Yumiko Seino, Kiyotaka Yabuki
• Format: Article
• Language: English
• Published: The Korean Society of Nephrology 2012-06-01
• Series: Kidney Research and Clinical Practice
• Online Access: http://www.sciencedirect.com/science/article/pii/S2211913212005967

It is generally accepted that diabetic dialysis patients have nutritional problems more frequently than non-diabetic patients, which has a close relation to the shortness of their lifetime. We compared the MIA related factors between hyperglycemic and normoglycemic dialysis patients with diabetes.110 diabetic dialysis patients were enrolled in this study and they were divided into the next 2 groups; the hyperglycemic group as GA greater than or equal to 23%, and the normoglycemic group as GA less than 23%. Nutritional status was evaluated by MIS sheet originally established by Kalantar- Zadeh. Nutritional statuses were categorized as Normal, mild malnourished and moderately/severely malnourished based on the total point of MIS. In the normoglycemic group age, dialysis vintage and serum level of CRP were significantly increased as a nutritional category became worsened. On the other hand in the hyperglycemic group there were no significant differences in MIA related factors among the nutritional categories. Various specific issues which might worsen the nutritional status of hyperglycemic dialysis patients were identified. In the normoglycemic patients malnutrition might has progressed in the similar manner of MIA progression observed in non-diabetic dialysis patients. However, in the hyperglycemic patients malnutrition might has progressed by other specific issues and or hyperglycemia itself. The Patients with severe hyperglycemia cannot live long enough to develop MIA syndrome.