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Document Type

Original Article

Abstract

Background: Primary arteriovenous fistula (AVF) failure has been linked to the existence of diabetes mellitus in some individuals, but not in all. Aim of the work: The study's objective is to assess how Diabetes Mellitus affects individuals receiving regular hemodialysis (HD) who have AVF malfunction. Patient and methods: All of the 90 participants in this research had end-stage renal disease (ESRD) and were being treated with regular HD. The subjects were separated into three groups according on age and sex; Group A had Twenty (20) non-diabetic patients enrolled as control group without any diagnosis of liver disease, Group B had Thirty-five (35) patients who are diabetic but are controlled where Hb A1C ≤ 7, Group C had Thirty-five (35) patients who are diabetic but are uncontrolled where Hb A1C > 7. Results: This study showed the distribution of AVF failure in the three groups, where it failed in 4(20%), 13(37.1%), and 23(65.7%) in the groups A, B, and C respectively. There was statistically substantial increase in AVF failure in groups B & C rather than group A, and in group C rather than group B. Conclusion: People with diabetes as a whole had more primary AVF failure than patients without the disease. Additionally, compared to diabetic individuals with HbA1c values

Keywords

Diabetes mellitus, Chronic renal failure, Arteriovenous fistula, HbA1c.

Subject Area

Internal Medicine

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