Abstract
Nearly all uraemic diabetic candidates for kidney transplants are candidates for a pancreas transplant. The best treatment option is to receive a living related donor kidney transplant first, followed later by a pancreas transplant from either a living related (segmental graft) or cadaver (whole organ or segmental) donor [22, 28]. For those without a living related donor for a kidney, a pancreas transplant can be performed simultaneously with a renal transplant from a cadaver donor. This approach promotes the highest kidney transplant survival rates and, coupled with pancreas transplantation, ensures the best overall outcome for the patient. The incentive to perform a living related donor kidney transplant is now even more compelling since the insulin-independence rates with a PAK can be as good as with a SPK transplant.
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