CAPD and diabetes mellitus: Survey of experience in the hospital Lainz since 1982

While there is progress in management of newly-diagnosed diabetic patients, treatment of diabetes and prevention of comorbid conditions, nephrologists are progressively confronted with the picture of fully established micro- and macrovascular disease. Experience with CAPD in patients with diabetes m ellitus in the hospital Vienna-Lainz from 1982 to 8/1999 was analyzed and o utcome data are presented. During this period 139 patients were treated wit h CAPD as primary renal replacement therapy, 41 with diabetes Type 1 and 47 with diabetes Type 2. Survival rate after 10 years of treatment (including transplantation and change to hemodialysis due to technical failure of CAP D) was 50 % in type I diabetes and 8 % in type 2 diabetes. In 73 % of patie nts with type I diabetes a kidney or kidney-pancreas transplantation was pe rformed. In contrast, only 11 % of type 2 diabetic patients were eligible f or kidney transplantation. These longterm data implicate further attempts i n reducing the incidence of diabetic nephropathy and later on renal failure . Furthermore, screening and aggressive treatment for atherosclerotic compl ications are necessary to improve the prognosis in this patient cohort.