Diabetic ESRD patient supported with intradialytic parenteral nutrition.

The patient did meet the expected outcomes. She was able to achieve a desired weight and continues to gain weight. Currently, consideration is being given to discontinuing IDPN therapy. The main concern is an exacerbation of her symptoms, which is often a problem with diabetic gastraparesis. BC's outlook on life is more positive. Hopefully, she will continue to be compliant with her diet, experience no increase in symptoms, and maintain this weight. As with all ESRD patients, her fluid status requires monitoring. Fluid gains are removed and she remains free of complications. BC is now able to participate in usual daily activities. She goes out to the hairdresser once a week and attends Sunday morning church service. Her sense of well-being is greatly improved. BC has expressed gratitude on numerous occasions for the treatment that she feels has saved her life. Her deteriorating physical state was severely affecting her emotional well-being. Her quality of life has been favorably altered by the intervention with IDPN therapy.