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52nd ERA-EDTA Congress

 

28-31 May 2015 London
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Discussion forum - 52nd ERA-EDTA Congress
    Topic - L2) Dialysis. Peritoneal dialysis.

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Poster: 606
Visits: 28
Title: ASSESSING GLYCEMIC CONTROL IN PERITONEAL DIALYSIS DIABETICS: CORRELATING GLYCATED HEMOGLOBIN AND CONTINUOUS GLUCOSE MONITROING.
Authors: Ahad Qayyum , Dr. Stanley L FanFan.Stanley@bartshealth.nhs.uk
Centre: Royal London Hospital, BartsHealth NHS Trust

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ASSESSING GLYCEMIC CONTROL IN PERITONEAL DIALYSIS DIABETICS: CORRELATING GLYCATED HEMOGLOBIN AND CONTINUOUS GLUCOSE MONITROING.

Ahad Qayyum
Thread initiator
Subspeciality
Reg: 5/15/2015 9:06:00 PM
Comment# 1
Achieving adequate gylcemic control in the peritoneal dialysis population is very challenging. We have traditionally assessed glycaemic control using HbA1c but its accuracy in dialysis patients remains debated (half-life of hemoglobin and carbamylation may cause assay interference/inaccuracies). Moreover, the type and timing of PD bags may impact blood glucose levels. Thus PD patients may experience greater variations in glucose over a 24 hour period and increased risk of hypoglycaemia that may not be appreciated by a HbA1c evaluation.We introduced Continuous Glucose Monitoring System (GCMS, Dexcom) for routine clinical monitoring of our insulin dependent PD patients. We now report:1)The correlation between HbA1c and average bloods glucose level as measured by the CGMS2)The correlation between the incidence of hypo and hyperglycemia as reported by the CGMS with HbA1c.

Comment added on 5/15/2015 9:06:00 PM 
     
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