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        Patients who have developed kidney disease due to Type 1
        diabetes may benefit from having a simultaneous pancreas and
        kidney transplant (SPK). This option is only suitable for Type 1
        diabetes. It is not suitable for Type 2 diabetes.
           Type 1 diabetes results from the body’s failure to produce
        insulin and presently requires the person to inject insulin.

                                                                              Type 2 diabetes results from
                                                                           insulin resistance, the cells fail to use
                                                                           insulin properly.
                                                                             During a SPK procedure a whole
                                                                          pancreas is stitched onto the vessel
                                                                          going to one leg and the kidney
                                                                          transplant onto the blood vessel going
                                                                         to the other leg. It is important to
                                                                         realise that a SPK transplant is a much
                                                                         bigger and more difficult operation
                                                                        than a kidney transplant alone
                                                                Currently the results of SPK transplantation are
                         very good with a one year survival of 95% and a 5 year survival rate of 90%. Kidney
        pancreas transplantation should be considered the treatment of choice for all otherwise well young
        patients with renal failure from Type 1 diabetes.

            Advantages of kidney/pancreas transplantation

          ● Improved quality of life
          ● Improved blood sugar control

          ● Probability of freedom from insulin injections
          ● Improved long-term survival
          ● Reduced long-term complications of diabetes

             Disadvantages of kidney/pancreas transplant

          ● Longer, more difficult operation
          ● Possibly longer waiting time than for kidney alone

          ● More possibility of complications developing related to the surgery

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