Patients with diabetes mellitus and chronic renal failure who are treated using peritoneal dialysis may have difficulty controlling their diabetes because
a. insulin is lost into the dialysate.
b. glucose is absorbed from the dialysate.
c. the combined food restrictions are so complex.
d. peritoneal dialysis causes taste changes and food aversions.
B
Peritoneal dialysis may cause difficulty with metabolic control for patients with diabetes mellitus because glucose is absorbed from the dialysate. Loss of insulin into the dialysate is not a problem. Combined food restrictions are somewhat complex, but do not make control of blood glucose levels more difficult. All patients with renal disease experience taste changes and food aversions, but these do not necessarily affect control of diabetes.
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