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CLASSROOM READING
Year : 2019  |  Volume : 5  |  Issue : 3  |  Page : 67-68

Metabolic implications of peritoneal dialysis


Department of Nephrology, Apollo Hospital, Chennai, Tamil Nadu, India

Correspondence Address:
Dr. K C Prakash
Apollo Hospital, Chennai, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jrnm.jrnm_61_19

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Peritoneal dialysis (PD) is a well-accepted form of renal replacement treatment. Glucose is the main agent used as an osmotic agent used in the majority of patients on PD. The other agents used are amino acid and polyglucose solutions in specific circumstances.[ Glucose loading is associated with certain downsides. Increase in plasma glucose leads to increased insulin secretion which leads to increased circulating insulin levels and hyperlipidemia and aggravate atherosclerosis. PD is associated with albumin and amino acid loss on a daily basis, which can be more in highly permeable peritoneal membrane or the presence of peritoneal inflammation.


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