Education of diabetic patients with chronic kidney disease and after transplantation

Czech version

Authors: A. Jirkovská
Authors‘ workplace: Centrum diabetologie IKEM Praha, přednostka prof. MUDr. Terezie Pelikánová, DrSc.
Published in: Vnitř Lék 2008; 54(5): 530-534
Category:

Předneseno na 9. celostátním diabetologickém sympoziu „Diabetes a urogenitální systém“ ve dnech 1.-2. června 2007 v Novém Adalbertinu v Hradci Králové

Overview

Despite recent advances in the management of diabetes, diabetic nephropathy is the most frequent cause of end-stage renal disease. Even when diabetic nephropathy is established, patient’s care should be optimized to delay progression of nephropathy or other diabetic complications. Evidence exists for the effectiveness of diet intervention, blood pressure and diabetes control and treatment of metabolic syndrome. We emphasize the need for closer co-operation not only between diabetologists, primary care physicians and nephrologists, but with educated diabetic patients, too. At referral to nephrologist, many patients’ care is suboptimal and referral is too late. The most important education information for patients is to stick to diet and keep adequate blood pressure and diabetes control with self- monitoring. Effectiveness of each of these recommendations is critically assessed. Patients after kidney or combined kidney and pancreas transplantation have to be educated mainly in symptoms of rejection and diabetic foot care. They are recommended to take regularly the prescribed medicines, to distinguish the adverse events of immunosuppression and keep all doctor´s appointments.

Key words:
diabetic nephropathy - education - self-monitoring

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