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Nephrology Dialysis Transplantation, Vol 13, Issue 90008 6-10, Copyright © 1998 by Oxford University Press

ORIGINAL ARTICLES

The drama of the continuous increase in end-stage renal failure in patients with type II diabetes mellitus

I Rychlik, G Miltenberger-Miltenyi and E Ritz
Department of Internal Medicine, Ruperto Carola University Heidelberg, Bergheimer Strasse 56a, D-69115 Heidelberg, Germany; Corresponding author

Type II diabetes mellitus has become the leading cause of end-stage renal failure in many countries of Western Europe. In all European countries, even in those with a relatively low prevalence of diabetic nephropathy, the number of patients with type II diabetes mellitus admitted for renal replacement therapy has recently increased continuously. Survival and medical rehabilitation of patients with type II diabetes on renal replacement therapy is significantly worse than in non-diabetic patients. It is obvious that in order to stem the tide, intense efforts are necessary (i) to inform the medical community about the renal risk of type II diabetes and the striking effectiveness of preventive measures, (ii) to provide better care for diabetic patients, and (iii) to reduce the high prevalence of diabetes in the population by modification of the Western life style.Key words: cardiovascular death, diabetes mellitus, epidemiology, haemodialysis, renal failure
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