Introduction:

Diabetes is the leading cause of chronic kidney disease and end-stage renal disease, which requires renal replacement therapy. Poor metabolic control, the long duration of diabetes, and the presence of albuminuria and diabetic retinopathy determine the appearance of renal disease in a patient with diabetes.

Objectives:

To characterize patients with type 2 diabetes mellitus under renal replacement therapy, followed up at the Central Police Hospital Rigoberto Caballero, Asuncion.

Methodology:

An observational, descriptive, cross-sectional, retrospective study with non-probabilistic sampling of consecutive cases was carried out. The accessible population corresponded to male and female patients over 40 years of age, carriers of type 2 diabetes mellitus, under renal replacement therapy, and under follow-up in the Nephrology Service of the mentioned hospital. Demographic and clinical variables were measured. Data were extracted from medical records, and descriptive statistics were applied.

Results:

Thirty subjects were evaluated, 73.33% were male, the mean age was 62 ± 9 years. Of these, 73% were on hemodialysis, 56% used jugular catheter, and the mean time since the start of hemodialysis was 21.33 ± 9.62 months. Insulin was used in 56.66% of the patients, mean creatinine clearance was 8.04 ± 4.52 mL/min/1.73 m2, potassium 4.94 ± 0.84 milli mol/L, and phosphorus 5.37 ± 1.75 mg/dL.

Conclusion:

Patients with type 2 diabetes mellitus on renal replacement therapy are mostly male, older than 60 years, receiving hemodialysis by jugular catheter, having started therapy 21 months ago, and with creatinine clearance less than 10 mL/min/1.73 m2.

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