Insulin Resistance and Transplantation
© 1998 Andrew Lundin, M.D. All rights
reserved. Reproduced with permission.
- Deborah Wyatt wrote:
- >
- > Dr. Lundin,
- >
- > I am greatly concerned about the possiblity of becoming diabetic
if I get
- > a transplant. Especially since hearing about insulin resistent
diabetes.
- > My father is diabetic, and my maternal grandfather was diabetic. I
see
- > no point in getting a transplant if it is going to result in yet
another
- > chronic disease. Can you elaborate on this 'insulin resistant
diabetes'?
- > How do you ever get it under control?
>
- > Debbie Wyatt
- > Bothell, WA
- > ladyrain@seanet.com
Insulin resistance means that you body's cells that need insulin need
more than normal thus they are considered resistant to insulin. I
doesn't mean that they won't respond to higher levels of insulin. There
are newer medications that make the cells more sensitive to insulin.
Much is happening in the treatment of diabetes and prevention of
problems. With your family history the risk of getting diabetes
post-transplant is not inconsequential. You will have to decide how
important it is to you to have the transplant. The diabetes can be
managed today with fewer side effects and complications than your
ancestors experienced. It all depends on whether or not you want to risk
the experience.
- Peter Lundin, M.D.
- June 11, 1998
from DIALYSIS ONLINE
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