Objective:

To evaluate the short-term effects of 15 g oral glucose solution on blood glucose levels and blood pressure in older patients with diabetes undergoing hemodialysis.

Approach:

Key Findings:

• The incidence of hypoglycemia and time below range during hemodialysis and within 2 hours post-hemodialysis were significantly reduced (P < 0.05).
• Mean blood glucose levels were significantly higher after the intervention (P < 0.05).
• No significant difference in the incidence of hypotension or blood pressure measurements before and after the intervention was observed (P > 0.05).

Interpretation:

Oral glucose supplementation was associated with a short-term reduction in hypoglycemia without increasing hypotension in older patients with diabetes undergoing hemodialysis.

Limitations:

• Small sample size of 12 patients limits generalizability.
• Study evaluated only acute short-term effects rather than long-term outcomes.

Conclusion:

The administration of 15 g of glucose solution during hemodialysis was associated with a reduction in hypoglycemia in older diabetic patients without an observed increase in hypotension.

Sources:

• Clinical Trial Registration
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