What is the Best Method of Treatment for Comorbid Diabetic with end-Stage Renal Disease? Case Report

Abstract Although hemodialysis (HD) and peritoneal dialysis (PD) together with transplantation are complementary methods for the treatment of patients with end-stage renal disease (ESRD), most patients complete their treatment with dialysis. For a long time there was a dilemma about the most effective dialysis treatment, especially for diabetics. Today, it is known that the two dialysis techniques, HD and PD, are comparable in terms of their effectiveness, but also that PD offers some benefits, especially for patients with residual renal function (RRF), the elderly and people with inadequate blood vessels for HD. Also, there are relative contraindications for PD such as blindness, physical incapacity, changes in the peritoneal membrane. A patients with diabetic nephropathy (as the main cause of ESRD), impaired vision and amputated lower legs is presented. This case report indicates that knowledge of the dialysis technique, cooperation with the patient and individualization of treatment is a prerequisite for the long-term success of renal replacement therapy (RRT), as well as the possibility of combining dialysis therapy when necessary in fragile populations suffering from diabetes. Keywords: Diabetes mellitus; End-stage renal disease; Peritoneal dialysis; Hemodialysis