Peritoneal dialysis usesdialysate fluid that contains glucoseto create an osmotic gradient for fluid removal. This glucose can beabsorbed into the bloodstream, especially with prolonged dwell times, resulting inhyperglycemia, particularly in pediatric patients with small body mass.
“Glucose in peritoneal dialysis solutions may be systemically absorbed, causing elevated serum glucose levels, particularly in pediatric and insulin-sensitive patients.”
(Referenced from CCRN Pediatric – Direct Care: Endocrine/Renal, Dialysis Complications)
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