Hemodialysis patients with diabetes.docVIP

 PAGE \* MERGEFORMAT 7 Hemodialysis patients with diabetes With the average life expectancy of patients with diabetes, diabetic nephropathy has become a major cause of disability in patients with diabetes, renal failure and diabetes to end-stage inevitable phenomenon. In renal failure patients on how to prolong the survival period and improve the quality of life of patients, In addition to effective control of blood glucose, blood pressure and health education of science, but also the need for hemodialysis or peritoneal dialysis to the blood of waste from the body. now I Division hemodialysis patients with diabetes-related care light below. 1 psychological care before dialysis First, we should help patients and their families learn more about diabetes, kidney disease and dialysis-related knowledge, a reasonable diet, adequate exercise, scientific medicine, maintaining a good mood, but also can control the disease. In addition, we should use moderate language to enrich basic knowledge of health care, skilled puncture technique to obtain the trust of patients and timely communication with patients condition changes and drug use, to help patients establish a correct outlook on life, to overcome the psychological world-weary, so that the long struggle with the disease set faith, voluntary and actively cooperate with the treatment. 2 dialysis condition observation and nursing care 2.1 Prevention of low blood sugar when the glucose renal failure mainly by means of insulin, oral hypoglycemic hypoglycemic agents only play a supporting role. Inactivation of insulin at this time of renal impairment, insulin receptor activity by dialysis increased to around enhanced insulin response organizations, the use of sugar-free 4-hour dialysis treatment will lose 25 ~ 30g of glucose, a combination of angiotensin-converting enzyme inhibitors (ACEI class of antihypertensive drugs can also enhance the surrounding tissue to insulin and oral hypoglycemic agents r