{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,10]],"date-time":"2026-01-10T13:24:38Z","timestamp":1768051478458,"version":"3.49.0"},"reference-count":19,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2019,2,20]],"date-time":"2019-02-20T00:00:00Z","timestamp":1550620800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Renal Care"],"published-print":{"date-parts":[[2019,3]]},"abstract":"<jats:title>SUMMARY<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Caring for patients with diabetes undergoing dialysis often proves challenging for staff working in haemodialysis units as they are not experts in diabetes and unfamiliar with insulin dosing regimens and the impact dialysis can have on blood sugar levels and lifestyle adjustment. There is a need to improve the knowledge base of renal healthcare professionals to better understand the physiology of diabetes, its relationship with end stage kidney disease, and potential changes that can take place when commencing dialysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objectives<\/jats:title><jats:p>The aim of this paper is to improve the understanding of the epidemiology of diabetes, associated risk factors, and complications associated with combined kidney disease &amp; diabetes. In addition, readers will learn about the impact of dialysis on this complex patient group; adjustments which need to be made to accommodate haemodialysis schedules e.g. timing of meals and insulin requirements; treatment time including travel; the monitoring of blood glucose levels: increased risk of hypoglycaemia; review of oral glycaemic medication and the need to maintain regular health checks and contact with diabetes teams.<\/jats:p><\/jats:sec><jats:sec><jats:title>Recommendations for practice<\/jats:title><jats:p>Specialist evidence based guidelines for the management of patients with diabetes receiving haemodialysis are readily available and can be used to support clinical practice. One of the key components to improving the patient experience is to maintain collaborative working relationship between renal and diabetes teams.<\/jats:p><\/jats:sec><jats:sec><jats:title>Learning outcomes<\/jats:title><jats:p>After reading this paper the reader will be able to\n<jats:list>\n<jats:list-item><jats:p>Understand the risk factors and complications of diabetes and relate to patients in their care<\/jats:p><\/jats:list-item>\n<jats:list-item><jats:p>Critically review the management of patients undergoing dialysis with diabetes<\/jats:p><\/jats:list-item>\n<jats:list-item><jats:p>Gain knowledge and understanding of changes in the dosing of insulin needed for patients receiving dialysis<\/jats:p><\/jats:list-item>\n<jats:list-item><jats:p>Understand how clinical guidelines can be applied in practice<\/jats:p><\/jats:list-item>\n<\/jats:list><\/jats:p><\/jats:sec>","DOI":"10.1111\/jorc.12266","type":"journal-article","created":{"date-parts":[[2019,2,20]],"date-time":"2019-02-20T10:37:56Z","timestamp":1550659076000},"page":"59-67","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Managing care for people with diabetes undergoing dialysis"],"prefix":"10.1111","volume":"45","author":[{"given":"Sarah","family":"Gregory","sequence":"first","affiliation":[{"name":"Diabetes Nurse Specialist, East Kent Hospital University Foundation Trust UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1413-9612","authenticated-orcid":false,"given":"Karen","family":"Jenkins","sequence":"additional","affiliation":[{"name":"Renal Consultant Nurse, East Kent Hospital University Foundation Trust UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,2,20]]},"reference":[{"key":"e_1_2_16_2_1","doi-asserted-by":"crossref","unstructured":"Ashley C. & Dunleavy A. (2018).The Renal Drug Handbook: The Ultimate Prescribing Guide for Renal Practitioners 5th edn. Boca Raton FL: CRC Press.","DOI":"10.1201\/9780429460418"},{"key":"e_1_2_16_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/dmrr.2253"},{"issue":"1","key":"e_1_2_16_4_1","first-page":"65","article-title":"20th annual report of the UK Renal Registry","volume":"139","author":"Byrne C.","year":"2018","journal-title":"Nephron"},{"key":"e_1_2_16_5_1","unstructured":"Diabetes UK. (2016). Facts and stats.https:\/\/www.diabetes.org.uk\/Documents\/Position%20statements\/DiabetesUK_Facts_Stats Oct1 6.pdf(accessed November 2018)."},{"key":"e_1_2_16_6_1","unstructured":"EDTA\/ERCA Report. (2014).www.diabetes.co.uk\/healthcare\u2010news\/sep\u20102010\/apho\u2010diabetes\u2010prevelance\u2010model.html(accessed October 2017)."},{"key":"e_1_2_16_7_1","doi-asserted-by":"publisher","DOI":"10.2337\/diaclin.26.2.77"},{"issue":"4","key":"e_1_2_16_8_1","first-page":"230","article-title":"Cardiovascular risk\u2014managing hypertension in type 2 diabetes","volume":"12","author":"Gadsby R.","year":"2010","journal-title":"Diabetes and Primary Care"},{"key":"e_1_2_16_9_1","doi-asserted-by":"crossref","unstructured":"GilgJ. CaskeyF. FogartyD.(2016).UK Renal Replacement Therapy Incidence in 2014: national and centre\u2010specific analyses. UK Renal Registry18th Annual Report of the Renal Association Nephron: 132(supplement) 9\u201340.","DOI":"10.1159\/000444815"},{"key":"e_1_2_16_10_1","doi-asserted-by":"publisher","DOI":"10.1515\/rjdnmd\u20102015\u20100035"},{"key":"e_1_2_16_11_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc14-2441"},{"key":"e_1_2_16_12_1","unstructured":"Joint British Diabetes Societies for Inpatient Care: management of adults with diabetes on the haemodialysis unit (2016).https:\/\/abcd.care\/resource\/management\u2010adults\u2010diabetes\u2010haemodialysis\u2010unit(accessed January 2019)."},{"issue":"1","key":"e_1_2_16_13_1","article-title":"Diabetic foot","volume":"359","author":"Mishra C.","year":"2017","journal-title":"British Medical Journal"},{"key":"e_1_2_16_14_1","doi-asserted-by":"publisher","DOI":"10.2215\/CJN.00800209"},{"key":"e_1_2_16_15_1","unstructured":"National Institute for Health and Care Excellence(2016) Diabetes (type 1 and type 2) in children and young people: diagnosis and management.https:\/\/www.nice.org.uk\/guidance\/ng18(Accessed December 2018)"},{"key":"e_1_2_16_16_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc10-0917"},{"key":"e_1_2_16_17_1","doi-asserted-by":"publisher","DOI":"10.1681\/ASN.2010010031"},{"key":"e_1_2_16_18_1","unstructured":"WittwerI.&SodustaG. (2015). Diabetes chronic kidney disease and anaemia information at expert level.https:\/\/www.edtnaerca.org\/resource\/edtna\/files\/ElectronicLibrary(Accessed December 2018)."},{"key":"e_1_2_16_19_1","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfq707"},{"key":"e_1_2_16_20_1","unstructured":"World Health Organisation. (2017). Data and statistics\u2014the challenge of diabetes.http:\/\/www.euro.who.int\/en\/health\u2010topics\/noncommunicable\u2010diseases\/diabetes\/data\u2010and\u2010statistics(accessed August 2017)."}],"container-title":["Journal of Renal Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjorc.12266","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jorc.12266","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,14]],"date-time":"2023-09-14T00:40:13Z","timestamp":1694652013000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jorc.12266"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,2,20]]},"references-count":19,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2019,3]]}},"alternative-id":["10.1111\/jorc.12266"],"URL":"https:\/\/doi.org\/10.1111\/jorc.12266","archive":["Portico"],"relation":{},"ISSN":["1755-6678","1755-6686"],"issn-type":[{"value":"1755-6678","type":"print"},{"value":"1755-6686","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,2,20]]},"assertion":[{"value":"2019-02-20","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}