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Raised plasma arginine vasopressin concentration in carbamazepine-induced water intoxication.

removal of reducing substances and uraemic toxins. It would therefore seem justified to conclude that haemodialysis does not improve the glucose tolerance of patients on maintenance haemodialysis, as measured by the intravenous test. Nevertheless, k values are rather uncertain criteria, since plasma glucose disappearance curves are not usually monoexponential. Furthermore, the dynamics of insulinglucose interactions are imperfectly described by a single parameter.4 On the other hand, the metabolic performance of patients on chronic haemodialysis is basally depressed, and is intermittently challenged by such stresses as dehydration, blood-pressure and flow changes, and electrolyte depletion. This might explain why we obtained the lowest k values from the tests performed at the shortest time (about 15 minutes) after the dialytic stress. Different test conditions or treatment of data may well give different results.5 Hence the acute effects of haemodialysis on glucose tolerance are probably weak, transitory, and altogether unpredictable.