RT Journal Article SR Electronic T1 Managing diabetes in hemodialysis patients: Observations and recommendations JF Cleveland Clinic Journal of Medicine JO Cleve Clin J Med FD Cleveland Clinic SP 649 OP 655 DO 10.3949/ccjm.76a.09054 VO 76 IS 11 A1 Shrishrimal, Kumarpal A1 Hart, Peter A1 Michota, Franklin YR 2009 UL http://www.ccjm.org/content/76/11/649.abstract 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.