Abstract

More than 30 years ago diabetic patients with end-stage renal disease (ESRD) were considered as inap-propriate candidates for a chronic dialysis programmebecause of a very high mortality rate and poor long-term survival w1x. In spite of this negative attitudeagainst diabetics on dialysis, not only more and morediabetic patients have been accepted to chronic renalreplacement therapy, but diabetes has become the mostcommon cause of ESRD, leading to renal replace-ment therapy in the western world w2x. Although theprognosis has improved markedly, mortality andmorbidity are still higher in diabetic compared tonon-diabetic patients undergoing haemodialysis (HD),peritoneal dialysis (PD), or after renal transplantation.

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