Kidney dialysis increases risk of diabetic foot ulcer
A study sponsored by the American Diabetes Association has shown that patients who are being treated with dialysis and suffer from stage 4–5 chronic kidney disease as well as diabetes are five times more likely to develop a diabetic foot ulcer (DFU) than those who do not receive dialysis.
The study, published in Diabetes Care, included 326 patients with diabetes and late-stage kidney disease who received care at clinics in Manchester, UK. Patients on dialysis were more likely to have nerve damage and circulatory problems, have a history of foot ulceration and amputation.
The authors recommend that diabetic patients starting dialysis should receive education on prevention prior to treatment, and should be checked regularly by their clinicians to avoid serious foot problems.
Previous studies have shown that renal impairment increases the risk of diabetic foot ulceration, but none had identified dialysis as a risk factor.
Click here to see the study.
Image: Dialysis. Credit: newslighter on Flickr.