Post-transplant diabetes mellitus (PTDM) is a frequent consequence of solid organ transplantation. PTDM has been associated with greater mortality and increased infections in different transplant groups using different diagnostic criteria. An international consensus panel recommended a consistent set of guidelines in 2003 based on American Diabetes Association glucose criteria but did not exclude the immediate post-transplant hospitalization when many patients receive large doses of corticosteroids. Greater glucose monitoring during all hospitalizations has revealed significant glucose intolerance in the majority of recipients immediately after transplant. As a result, the international consensus panel reviewed its earlier guidelines and recommended delaying screening and diagnosis of PTDM until the recipient is on stable doses of immunosuppression after discharge from initial transplant hospitalization. The group cautioned that whereas hemoglobin A1C has been adopted as a diagnostic criterion by many, it is not reliable as the sole diabetes screening method during the first year after transplant. Risk factors for PTDM include many of the immunosuppressant medications themselves as well as those for type 2 diabetes. The provider managing diabetes and associated dyslipidemia and hypertension after transplant must be careful of the greater risk for drug-drug interactions and infections with immunosuppressant medications. Treatment goals and therapies must consider the greater risk for fluctuating and reduced kidney function, which can cause hypoglycemia. Research is actively focused on strategies to prevent PTDM, but until strategies are found, it is imperative that immunosuppression regimens are chosen based on their evidence to prolong graft survival, not to avoid PTDM.
Post transplant care diabetes treatment in safdarjung
Post transplant care diabetes in safdarjung
Best Post transplant care diabetes treatment in safdarjung
Prof. (Dr.) Sham Sunder specializes in the diagnosis and treatment of chronic kidney disease (CKD), acute kidney injury, diabetic kidney disease, hypertension-related kidney disorders, glomerular diseases, kidney stones, electrolyte imbalances, and renal failure.
You should consult a nephrologist if you have persistent high blood pressure, diabetes with kidney complications, swelling in the legs or face, blood or protein in urine, abnormal kidney function tests, or symptoms of chronic kidney disease.
Yes. He offers comprehensive kidney transplant services, including pre-transplant evaluation, donor and recipient assessment, post-transplant care, and long-term follow-up to ensure successful outcomes.
Yes. Prof. (Dr.) Sham Sunder has extensive expertise in managing both Hemodialysis and Peritoneal Dialysis (CAPD), providing personalized treatment plans based on each patient's medical condition.
Yes. Uncontrolled high blood pressure is one of the leading causes of kidney disease. Early diagnosis, regular monitoring, and proper treatment can help protect kidney function and prevent complications.
He is an AIIMS-trained nephrologist with over 26 years of experience, international fellowship training, more than 40 research publications, and extensive expertise in dialysis and kidney transplantation. He has also served as Chairman and Head of leading nephrology departments in India.
Please bring your previous medical records, laboratory reports, imaging studies, current medications, blood pressure records, and any previous dialysis or transplant-related documents to help with an accurate evaluation.
You can book an appointment by calling the clinic, using the appointment form on the website, or contacting the hospital directly for consultation scheduling and availability.
