Posttransplantionsdiabetes

Abstract

New onset diabetes after transplantation is a common complication leading to progressive microvascular and macrovascular diseases, graft failure and death. Therefore early detection of impaired glycemic control is crucial and standardized screening including an oral glucose tolerance test (OGTT) should be carried out at the time of evaluation before accepting a patient on a transplantation waiting list. In terms of a consistent, logistic and economic efficiency for diagnostic and therapeutic strategies, local and regional cooperation between transplantation physicians and diabetologists and their teams are ideal prerequisites and should be promoted. This approach will allow early diagnosis and therapeutic intervention and lead to optimized overall transplantation success for hyperglycemic transplant recipients.