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Medical AI Inquiry: You was designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.  Labels: BACKGROUND, METHODS, RESULTS. Meshes: Adult, Autonomic Nervous System, Diabetic Nephropathies, Diabetic Neuropathies, Dry Eye Syndromes, Female, Humans, Incidence, Lacrimal Apparatus, Male, Middle Aged, Renal Dialysis, Secretory Rate, Tears, Uremia.
user
Does diabetes mellitus suppress hemodialysis-induced increases in tear fluid secretion? Context: Hemodialysis is essential for the survival of patients suffering from chronic renal failure. However, in diabetics the incidence of dry eye disease is higher than in non-diabetic individuals. Accordingly, we evaluated if this difference is attributable to different effects of hemodialysis on basal tear fluid secretion. A modified Schirmer's eye test determined if hemodialysis improved basal tear secretion rates in 36 diabetic and non-diabetic patients undergoing hemodialysis. Basal tear secretion was invariant in diabetic patients whereas in non-diabetic individuals this process increased.
assistant
In non-diabetic patients, autonomic neuropathy appears to be less severe and somewhat reversible since only in these individuals hemodialysis improved basal tear fluid secretion. This difference may be a factor contributing to the lower incidence of dry eye disease in non-diabetic patients. Final Decision: yes