Prognosis of patients with diabetes, who have a terminal renal failure, is very unfavorable. It is considerably affected by high quality and timely initiated predialysis care and early inclusion into transplantation or dialysis program.
Optimal treatment of diabetes patients with terminal renal failure is transplantation. Patients, who are contraindicated for kidney transplantation treatment, can choose between hemodialysis (HD) and peritoneal dialysis (PD), which offer a comparable prognosis.
It is essential that the chosen method ensures optimal metabolic compensation and best possible quality of life of the patient.