Whether specific interventions, e.g. intensified dialysis,
are needed to improve HRQOL in diabetes patients on
dialysis, and whether these will also improve survival,
should be further explored. Renal transplantation would
likely improve HRQOL in diabetics and this needs to be
adressed in longitudinal studies. Not only is medical
intervention needed, but also greater focus on psychosocial
intervention of preventable factors would be
expected to improve the well-being of dialysis patients.
In addition, an increased awareness, with a focus on
physical exercise training or other measures to overcome
or assist physical function impairment should always be
considered in dialysis patients, and this seems particularly
important in patients with diabetes.