Simultaneous living donor pancreas-kidney transplantation in a patient with type 1 diabetes mellitus after program hemodialysis. Case report

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Abstract

Simultaneous pancreas-kidney transplantation is an effective treatment option for end-stage renal disease with diabetes mellitus. Successful simultaneous pancreas-kidney transplantation allows achieving euglycemia, stabilizing existing microvascular complications and slowing their progression, improving the patient’s quality of life, lipid and calcium-phosphorus metabolism, reducing the risks of cardiovascular events. Therefore, in view of the patient’s severe general condition due to prolonged intoxication, hyperglycemia and other complications of chronic kidney disease, the earliest possible surgical treatment with minimization of the patient's stay on dialysis therapy is crucial to improve the outcome of transplantation.

About the authors

Anastasia S. Severina

National Medical Research Center for Endocrinology

Email: ansev1@mail.ru
ORCID iD: 0000-0002-0296-4933
SPIN-code: 3182-9510

канд. мед. наук, вед. науч. сотр.

Russian Federation, Moscow

Alla A. Tskaeva

National Medical Research Center for Endocrinology

Author for correspondence.
Email: AllaTskaeva@yandex.ru
ORCID iD: 0009-0006-7695-6182

врач-ординатор

Russian Federation, Moscow

Madina I. Yevloyeva

National Medical Research Center for Endocrinology

Email: madevis_6@mail.ru
ORCID iD: 0000-0001-6009-9872
SPIN-code: 4887-5455

аспирант, врач-эндокринолог

Russian Federation, Moscow

Minara S. Shamhalova

National Medical Research Center for Endocrinology

Email: shamkhalova@mail.ru
ORCID iD: 0000-0002-3433-0142
SPIN-code: 4942-5481

д-р мед. наук, зав. отд-нием диабетической болезни почек и посттрансплантационной реабилитации

Russian Federation, Moscow

Marina V. Shestakova

National Medical Research Center for Endocrinology

Email: shestakova.mv@gmail.com
ORCID iD: 0000-0003-3893-9972
SPIN-code: 7584-7015

акад. РАН, д-р мед. наук, проф, дир. Института диабета, зам. дир. 

Russian Federation, Moscow

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Supplementary files

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2. Fig. 1. Results of flash-monitoring of the patient's glycemia.

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3. Fig. 2. Results of flash-monitoring of the patient's glycemia.

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4. Fig. 3. Results of 24-hour blood pressure monitoring.

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