الفهرس 
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Abstract
Symptomatic intradialytic hypotension (IDH) is a common complication of hemodialysis (HD). It remains an important cause of morbidity and mortality in hemodialysis (HD) patients
So, the aim of the current research is to evaluate intradialytic hypotension in diabetic hemodialysis patients and its associated risk factors. The study included 60 patients under maintenance hemodialysis. They comprised 35 males (58.3 %) and 25 females (41.7 %) with a mean age of 42.8 ± 13.7 years.
In the current study, comparison of the demographic characteristics between the studied group didn’t reveal any significant differences.
Comparison of the hematological parameters between the studied groups shows no significant differences. In respect to the serum electrolyte levels, the present study didn’t reveal any significant differences between the studied groups.
As regards the other laboratory parameters, the present study failed to prove any significant differences between the studied groups.
Comparing the hemodialysis parameters in the studied groups had shown that diabetic patients had significantly higher interdialytic weight gain when compared with non-diabetics (p=0.013)
In the present study, IDH was reported in 20 patients out of 60 included in the study (33.3 %) in both groups. Diabetic group experienced significantly higher frequency of patients with IDH when compared with non diabetic group [14 (43.3%) vs 6 (26.7%) respectively, p=0.027)].
In both groups, autonomic dysfunction, was found in 17 patients out of 60 (28.3%). Diabetic patients had significantly higher frequency of autonomic neuropathy when compared with non-diabetics [12, (40.0%) vs 5 (16.7%) respectively].
Considering the type of autonomic neuropathy encountered, it was found that non-diabetic patients had significantly higher frequency of parasymstheric autonomic dysfunction when compared with diabetic patients.
Interdialytic weight gain was significantly higher in patients who experienced IDH when compared with patients without IDH.
Comparison between patients with IHD and patients without in diabetic group regarding the presence of autonomic dysfunction had shown that patients with IDH had significantly higher frequency of AN when compared with patients with IDH.