Diabetes mellitus (PTDM) is a common adverse reaction to solid organ transplantation. Using various diagnostic criteria, PTDM has been linked to higher mortality and infections in various transplant groups. Increased glucose monitoring throughout all hospitalizations revealed that the majority of transplant recipients had significant glucose intolerance immediately after the transplant. As a result, the international consensus panel reconsidered its previous recommendations and advised deferring PTDM screening and diagnosis until the recipient is on stable immunosuppression doses after discharge from the initial transplant hospitalisation. While many have adopted hemoglobin A1C as a diagnostic criterion, the group cautioned that it is not reliable as the sole diabetes screening method during the first year after transplant. Many immunosuppressive medications, as well as diabetes medications, are risk factors for PTDM. The provider who manages diabetes, dyslipidemia, and hypertension after transplant must be aware of the increased risk of drug-drug interactions and infections associated with immunosuppressive medications. The increased risk of fluctuating and reduced kidney function, which can lead to hypoglycemia, must be considered in treatment objectives and therapies. While research is being conducted to develop PTDM prevention strategies, it is critical that immunosuppression regimens be chosen based on their evidence to prolong graft survival rather than avoid PTDM.
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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.
