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Management of adults with diabetes on the haemodialysis unit

Diabetic nephropathy remains the principal cause of end-stage renal failure in the UK. People with diabetes on regular hospital haemodialysis are a vulnerable group at high risk of adverse cardiovascular outcomes, the leading cause of mortality in this population.

These national guidelines, the first in this area, are intended to support the practice of all healthcare professionals who care for people with diabetes who are on maintenance haemodialysis. The document highlights the organisational difficulties that patients with diabetes on regular hospital haemodialysis experience and the great need for the organisation of their care to be better managed.

The target audience specifically includes:

  • clinical staff working on haemodialysis units (nephrologists, haemodialysis specialist nurses and healthcare assistants)
  • clinicians working in diabetes networks (diabetologists, clinical specialist nurses)
  • GPs, practice nurses and district nurses
  • podiatrists
  • dietitians involved in the care of patients on haemodialysis.

JBDS-IP is supported by Diabetes UK, the Association of British Clinical Diabetologists (ABCD) and the Diabetes Inpatient Specialist Nurse UK Group. The aim of JBDS-IP is to improve inpatient diabetes care throughout the UK. This is mainly through the development and use of high quality evidence based guidelines, and through better inpatient care pathways.  

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