The Joint British Diabetes Societies for Inpatient Care (JBDS) continue the run of updates to their guidelines and in August have published updated guidance on the management of adults with diabetes undergoing dialysis.
The updated guidance has an expanded remit to include people with diabetes on peritoneal dialysis, and also includes a major revision to the section on glycaemic monitoring and glycaemic targeting, which takes into account the significant technological advances that have been made in relation to glucose monitoring, as well as the growing recognition that glycated proteins (including HbA1c) do not adequately reflect glycaemic control in people on dialysis. The main change in this section is the suggestion for use of intermittently scanned or real-time CGM in people with diabetes on dialysis who are at high risk of hypoglycaemia or glucose variability.
The section on complications has also been updated to include subsections on diabetic ketoacidosis and retinopathy.
Click here to access the full guideline.
