LAUSR

Objective: The management of diabetics on hemodialysis is particularly difficult due to frequent hypoglycaemia and significant inter and perdialytic glycemic variability that is difficult to predict. The aim of our study is to describe the clinical-biological profile and to assess the cardiovascular risk of diabetics undergoing chronic hemodialysis and to compare them to non-diabetic hemodialysis patients. Design and method: This cross-sectional, descriptive and analytical study was carried out between January 01 and December 31, 2018, involving 309 hemodialysis patients spread over 4 centers The data were collected prospectively then compiled and analyzed by the SPSS Version 10 software The FRAMINGHAM RISK SCORE has been used to assess cardiovascular risk in all hemodialysis patients Results: The survey involved 309 hemodialysis patients, including 83 diabetics, for a prevalence of 27% The average age 53 ± 10.2 years. The sex ratio is 1.5. 50% of diabetic hemodialysis patients retained residual diuresis against 32% in non-diabetics. In the group of diabetics, we noted more hypertension (70% versus 38% non-diabetics P 0.004), more intradialytic hypoglycemia (15% versus 3% non-diabetics P 0.007), initially vascular exhaustion was found. in 4 diabetics versus 2 non-diabetics. 70% of diabetics with anuria had postdialytic hyperglycemia. The study found a statistically significant difference between the different levels of cardiovascular risk according to the diabetic status. Conclusions: There are many challenges in the management of diabetics on hemodialysis, both to optimize glycemic control according to an individualized target, and to coordinate comprehensive and effective care.