PT  - JOURNAL ARTICLE
AU  - Kumarpal Shrishrimal
AU  - Peter Hart
AU  - Franklin Michota
TI  - Managing diabetes in hemodialysis patients: Observations and recommendations
AID  - 10.3949/ccjm.76a.09054
DP  - 2009 Nov 01
TA  - Cleveland Clinic Journal of Medicine
PG  - 649--655
VI  - 76
IP  - 11
4099  - http://www.ccjm.org/content/76/11/649.short
4100  - http://www.ccjm.org/content/76/11/649.full
SO  - Cleve Clin J Med2009 Nov 01; 76
AB  - Diabetes is challenging to manage in patients who have end-stage renal disease (ESRD), as both uremia and dialysis can complicate glycemic control by affecting the secretion, clearance, and peripheral tissue sensitivity of insulin. The authors summarize the available evidence and make practical recommendations.