<abstract xmlns="http://www.w3.org/1999/xhtml">

Post-transplant diabetes mellitus (PTDM) is one from the most common metabolic complications after kidney transplantation. PTDM develops in the early period after transplantation. The risk factors of PTDM are carbohydrate imbalances occurring in the patient prior to transplantation, surgery and the inclusion of immunosuppressive treatment. Kidney transplant patients tend to gain weight, which is associated with an increased risk of post-transplant diabetes, cardiovascular diseases and abnormal transplanted kidney function.
Patients after kidney transplantation should be advised to adopt a lifestyle based on a proper diet, exercise, weight control and smoking cessation. The strategy to reduce the risk factors for PTDM development should start before transplantation and continue after kidney transplantation. A targeted, non-pharmacological approach to patients already during the dialysis period may have a significant impact on reducing post-transplantation diabetes.
Lifestyle interventions can effectively reduce the risk of development and inhibit the progression of post-transplantation diabetes. The article describes elements of comprehensive non-pharmacological management based on available knowledge of rehabilitation, dietetics and psychology.
</abstract>

Post-transplant diabetes mellitus (PTDM) is one from the most common metabolic complications after kidney transplantation. PTDM develops in the early period after transplantation. The risk factors of PTDM are carbohydrate imbalances occurring in the patient prior to transplantation, surgery and the inclusion of immunosuppressive treatment. Kidney transplant patients tend to gain weight, which is associated with an increased risk of post-transplant diabetes, cardiovascular diseases and abnormal transplanted kidney function.
Patients after kidney transplantation should be advised to adopt a lifestyle based on a proper diet, exercise, weight control and smoking cessation. The strategy to reduce the risk factors for PTDM development should start before transplantation and continue after kidney transplantation. A targeted, non-pharmacological approach to patients already during the dialysis period may have a significant impact on reducing post-transplantation diabetes.
Lifestyle interventions can effectively reduce the risk of development and inhibit the progression of post-transplantation diabetes. The article describes elements of comprehensive non-pharmacological management based on available knowledge of rehabilitation, dietetics and psychology.

Comprehensive lifestyle modification as complementary therapy to prevent and manage post-transplant diabetes mellitus<xref ref-type="fn" rid="j_01.3001.0014.8311_fn_001a">*</xref>

Department of Nephrology and Transplantation Medicine

Department and Division of Medical Rehabilitation

Postępy Higieny i Medycyny Doświadczalnej

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Comprehensive lifestyle modification as complementary therapy to prevent and manage post-transplant diabetes mellitus

Kompleksowa modyfikacja stylu życia jako terapia uzupełniająca w zapobieganiu i leczeniu cukrzycy po przeszczepie

Post-transplant diabetes mellitus (PTDM) is one from the most common metabolic complications after kidney transplantation. PTDM develops in the early period...

Comprehensive lifestyle modification as complementary therapy to prevent and manage post-transplant diabetes mellitus^*

Article Category: Original Article

Published Online: Apr 08, 2021

Page range: 238 - 245

Received: Apr 13, 2020

Accepted: Nov 09, 2020

DOI: https://doi.org/10.5604/01.3001.0014.8311

Keywords
post-transplant diabetes mellitus, lifestyle modification, kidney transplant recipients, rehabilitation, utrition intervention, smoking cessation

© 2021 Katarzyna Madziarska et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Comprehensive lifestyle modification as complementary therapy to prevent and manage post-transplant diabetes mellitus*

Article Category: Original Article

Published Online: Apr 08, 2021

Page range: 238 - 245

Received: Apr 13, 2020

Accepted: Nov 09, 2020

DOI: https://doi.org/10.5604/01.3001.0014.8311

Keywordspost-transplant diabetes mellitus, lifestyle modification, kidney transplant recipients, rehabilitation, utrition intervention, smoking cessation

© 2021 Katarzyna Madziarska et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Comprehensive lifestyle modification as complementary therapy to prevent and manage post-transplant diabetes mellitus^*

Keywords
post-transplant diabetes mellitus, lifestyle modification, kidney transplant recipients, rehabilitation, utrition intervention, smoking cessation