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New Diabetes While Listed Transplant — ESENeph MCQ

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EasyTransplantationNew Diabetes While Listed TransplantESENeph

A 60-year-old man on haemodialysis has been on the transplant waiting list for 3 years. He develops new-onset diabetes (fasting glucose 8.5 mmol/L, HbA1c 52 mmol/mol). Does this affect his transplant candidacy?

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Correct answer: E — New-onset diabetes does not remove him from the list but requires optimisation; he needs cardiovascular reassessment as diabetes increases surgical and post-transplant risk

Developing diabetes while on the transplant waiting list does not preclude transplantation but requires updated assessment. Diabetic patients have higher cardiovascular risk, and updated cardiac screening may be needed per KDIGO 2020 transplant candidacy guideline. Glycaemic management should be optimised. Post-transplant, immunosuppressive medications (particularly Tacrolimus and Prednisolone) may worsen glycaemic control. The transplant team should be informed, and the risk-benefit discussion updated.

Reference: KDIGO 2020 – Transplant Candidate Evaluation