{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T20:32:29Z","timestamp":1786739549546,"version":"build-2736575974"},"reference-count":7,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"6","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2018,11]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>In patients with diabetes related end-stage renal disease (ESRD) on hemodialysis, blood glucose management can be challenging due to the kinetics of glucose and insulin in addition to other factors. The glucose monitoring systems which measure glucose levels continuously may be useful to study the glucose profile of patients with diabetes undergoing hemodialysis. Our study is designed to use ambulatory glucose profile to study the glucose pattern \u2013 during, before, and after a session of hemodialysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>Ten patients with type 2 diabetes with ESRD undergoing hemodialysis were recruited. Forty-eight glucose readings were recorded in a 12-h period which included 4 h each prior, during, and after the dialysis session with a flash glucose monitor (FreeStyle Libre-pro). The same 12 h time frame was also monitored on a non-dialysis day.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      On the day of dialysis, the mean glucose level was significantly lower (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.013) compared to the day without dialysis (95 \u00b1 12.7 mg\/dl vs 194 \u00b1 76.8 mg\/dl). As compared to the pre-dialysis period, the mean blood glucose levels during dialysis were lower (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.004). As compared to the dialysis period, the mean blood glucose levels in the post-dialysis period were higher but did not reach statistical significance.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>In our study, subjects with type 2 diabetes on hemodialysis had lower glucose levels on the day of dialysis compared to non-dialysis day. Glucose levels showed a fall during hemodialysis and then a rise to higher levels after dialysis.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ijem.ijem_520_18","type":"journal-article","created":{"date-parts":[[2018,12,4]],"date-time":"2018-12-04T03:43:00Z","timestamp":1543894980000},"page":"848-851","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":24,"title":["Flash Glucose Monitoring in Subjects with Diabetes on Hemodialysis: A Pilot Study"],"prefix":"10.4103","volume":"22","author":[{"given":"Rajesh S.","family":"Javherani","sequence":"first","affiliation":[{"name":"Department of Clinical Nephrology and Critical Care, Chellaram Diabetes Institute, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vedavati B.","family":"Purandare","sequence":"additional","affiliation":[{"name":"Department of Clinical Diabetology and Endocrinology, Chellaram Diabetes Institute, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anjali A.","family":"Bhatt","sequence":"additional","affiliation":[{"name":"Department of Clinical Diabetology and Endocrinology, Chellaram Diabetes Institute, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suganthi S.","family":"Kumaran","sequence":"additional","affiliation":[{"name":"Department of Clinical Diabetology and Endocrinology, Chellaram Diabetes Institute, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mehmood G.","family":"Sayyad","sequence":"additional","affiliation":[{"name":"Department of Biostatistics, Chellaram Diabetes Institute, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ambika G.","family":"Unnikrishnan","sequence":"additional","affiliation":[{"name":"Department of Clinical Diabetology and Endocrinology, Chellaram Diabetes Institute, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-20260327","first-page":"e0147329","article-title":"The incidence of end-stage renal disease in the diabetic (compared to the non-diabetic)","volume":"11","author":"Narres","year":"2016","journal-title":"Population: A Systematic Review. PLoS ONE"},{"key":"R2-20260327","doi-asserted-by":"crossref","first-page":"153","DOI":"10.15277\/bjdvd.2014.046","article-title":"Consensus recommendations for the use of ambulatory glucose profile in clinical practice","volume":"14","author":"Matthaei","year":"2014","journal-title":"Br J Diabetes Vasc Dis"},{"key":"R3-20260327","doi-asserted-by":"crossref","first-page":"288","DOI":"10.1111\/j.1744-9987.2007.00492.x","article-title":"Evaluation of the Hemodialysis-induced changes in plasma glucose and insulin concentrations in diabetic patients: Comparison between the hemodialysis and non-hemodialysis days","volume":"11","author":"Abe","year":"2007","journal-title":"Ther Apher Dial"},{"key":"R4-20260327","doi-asserted-by":"crossref","first-page":"125","DOI":"10.1007\/s40846-015-0015-x","article-title":"Impact of haemodialysis on insulin kinetics of acute kidney injury patients in critical care","volume":"35","author":"Jamaludin","year":"2015","journal-title":"J Med Biol Eng"},{"key":"R5-20260327","doi-asserted-by":"crossref","first-page":"466","DOI":"10.1007\/s11892-009-0076-8","article-title":"Management of diabetes in dialysis patients","volume":"9","author":"Williams","year":"2009","journal-title":"Curr Diab Rep"},{"issue":"Suppl 2","key":"R6-20260327","first-page":"S3","article-title":"Continuous glucose monitoring: A review of successes, challenges, and opportunities","volume":"18","author":"Rodbard","year":"2016","journal-title":"Diabetes Technol Ther"},{"key":"R7-20260327","doi-asserted-by":"crossref","first-page":"69","DOI":"10.15277\/bjd.2016.073","article-title":"Management of adults with diabetes on the haemodialysis unit: Summary of new guidance from the Joint British Diabetes Societies (JBDS) and the Renal Association","volume":"16","author":"Frankel","year":"2016","journal-title":"Br J Diabetes"}],"container-title":["Indian Journal of Endocrinology and Metabolism"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/02223308-201822060-00024","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T19:29:55Z","timestamp":1786735795000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/02223308-201822060-00024"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,11]]},"references-count":7,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2018]]}},"URL":"https:\/\/doi.org\/10.4103\/ijem.ijem_520_18","relation":{},"ISSN":["2230-8210","2230-9500"],"issn-type":[{"value":"2230-8210","type":"print"},{"value":"2230-9500","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,11]]}}}