Changes in blood glucose and lactate concentrations with hemodialysis.
Kanchana WathaAndrew DavenportKamonwan TangvoraphonkchaiPublished in: Artificial organs (2021)
Peri-dialytic hypoglycemia cannot simply be explained by dialyzer clearance, as the corresponding fall in lactate would potentially suggest increased gluconeogenesis. Despite using a glucose containing dialysate, asymptomatic hypoglycemia occurred in 6.4% of sessions, suggesting a role for peri-dialytic blood glucose monitoring and avoiding fasting during dialysis.