Review articles

Insulin resistance as a novel therapeutic target in patients with chronic kidney disease treated with dialysis

Piotr Wesołowski, Marek Saracyn, Zbigniew Nowak, Zofia Wańkowicz
Published online: January 01, 2010

Clinical significance of insulin resistance in patients with chronic renal failure treated with dialysis has not been fully elucidated and requires further research. The available data indicate that long-term dialysis therapy promotes the development of insulin resistance. Furthermore, it has been proven that insulin resistance in this patient group is a strong independent predictor of mortality from cardiovascular causes. Insulin resistance as a potential modifiable cardiovascular risk factor should be considered as a novel therapeutic target in patients undergoing both hemo dialysis and peritoneal dialysis.

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