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Abstract
Diabetes Mellitus (DM) is a worldwide epidemic that is estimated at 190,000,000 cases, 330,000,000 are expected in 2025, and causes 3,200,000 deaths per year, or six deaths per minute. There are 3,400,000 diabetics in Spain, and this figure is increasing at a rate of 5% per year, and in our region of Castilla y León there are 200,000 patients with this pathology. MD is the leading cause of blindness and chronic renal failure (CRI) in the developed world, 21% in Spain, and in Castilla y León it is 6-8%, and increases the probability of acute myocardial infarction and/or cerebral haemorrhage and amputations1. In the long term, it can lead to numerous complications, including diabetic nephropathy, which usually appears in 50% of patients within 20 years of the onset of diabetes. Diabetic nephropathy is completely asymptomatic until severe damage occurs and is responsible for about 30% of patients entering regular dialysis and the leading cause of kidney transplantation in Western countries2. Currently, kidney pancreas transplantation is the best therapeutic option for the diabetic patient on dialysis, but the surgical intervention and the post-surgical phase can present different complications. We apply the nursing process, which is a systematized method of providing goal-oriented care (NOC). The use of the nursing process complements the work of professionals from other disciplines.
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