ABP LIVE Doc Talk | Can People With Diabetes, Obesity Or Age Over 60 Still Donate Their Organs?

If
a
pe so
has
Diabetes
mellitus,
is
ove weight,
o
is
above
the
age
of
60,
it
does
ot
ecessa ily
mea
that
they
ca ot
become
a
o ga
do o .
I
fact,
ma y
pote tial
do o s
a e
excluded
p ematu ely
because
of
misco ceptio s
a ou d
age
a d
health
co ditio s.
The
decisio
is
ot
based
o
a
si gle
diag osis,
age,
o
body
weight;
it
depe ds
o
the
ove all
health
of
the
do o
a d,
most
impo ta tly,
the
co ditio
a d
suitability
of
the
o ga s
bei g
co side ed
fo
t a spla tatio .

Age
Is
Not
The
Sole
Dete mi a t

The e’s
o
ha d
age
cutoff
fo
deceased
o ga
do atio
i
I dia.
Natio al
O ga
&
Tissue
T a spla t
O ga isatio
(NOTTO)
does ‘t
set
a
absolute
uppe
limit;
i stead,
it
assesses
o ga
health
at
the
time
of
death.
Kid eys
a d
live s
a e
ofte
co side ed
viable
f om
do o s
well
i to
thei
60s
a d
70s,
while
co eas
a d
ski
ca
come
f om
do o s
who
a e
much
olde
still.
This
is ‘t
just
a
I dia
phe ome o
eithe .
I
the
US,
ea ly
two
out
of
eve y
five
o ga
do o s
a e
ove
50.
Age
is
a
facto
but
ot
the
o ly
o e.

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Talk
|
How
Loud
Is
Too
Loud?
WHO& squo;s
Safe
Liste i g
Limits
You
Need
To
K ow

What
About
Diabetes
Mellitus?

This
o e’s
a
bit
mo e
ua ced,
a d
it
depe ds
heavily
o
whethe
we’ e
talki g
about
livi g
o
deceased
do atio .
Fo
deceased
do o s,
havi g
diabetes
does ‘t
automatically
take
you
off
the
list.
The
eal
questio
is
whethe
it
has
caused
damage
to
the
specific
o ga
bei g
co side ed,
the
kid eys,
hea t,
o
blood
vessels,
fo
i sta ce.

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LIVE
Doc
Talk
|
Why
O al
Health
Matte s
Du i g
Ca ce
T eatme t
A d
Hospitalisatio

Fo
livi g
do o s,
most
t a spla t
p og ams,
i cludi g
those
followi g
NOTTO
guideli es,
ge e ally
exclude
people
with
diabetes
f om
livi g
do atio ,
pa ticula ly
kid ey
do atio ,
because
emovi g
a
o ga
could
put
ext a
st ai
o
someo e
whose
body
is
al eady
ma agi g
a
ch o ic
co ditio .
The
i te atio al
guida ce
(like
KDIGO’s,
Kid ey
Disease
|
Imp ovi g
Global
Outcomes)
does
allow
fo
i dividualised
assessme t
i
select
cases,
fo
example,
olde
do o s
with
well-co t olled
type
2
diabetes,
o
i suli
depe de ce,
a d
o
sig s
of
o ga
damage.& bsp;

A d
Bei g
Ove weight?

Ext a
weight
does
aise
some
eal
co ce s,
especially
fo
livi g
kid ey
do o s,
mai ly
a ou d
su gical
isk
a d
lo g-te m
health.
NOTTO’s
guideli es
flag
a
BMI
(Body
Mass
I dex)
above
35
as
a
commo
exclusio
poi t
fo
livi g
do atio
specifically,
la gely
because
of
highe
su gical
complexity
a d
futu e
health
isks
to
the
do o .

But
this
is ‘t
a
bla ket
ule
fo
all
o ga
do atio s.
Fo
deceased
do atio ,
BMI
is
o e
of
seve al
facto s
weighed
alo gside
kid ey
fu ctio ,
blood
p essu e,
a d
metabolic
health,
ot
a
automatic
disqualifie
o
its
ow .
I te esti gly,
studies
eviewed
by
KDIGO
fou d
that
i
livi g
kid ey
do o s
with
highe
BMI,
su ge y
took
o ly
about
17
mi utes
lo ge
o
ave age,
with
o
mea i gful
diffe e ces
i
blood
loss
o
hospital
stay.& bsp;

So
What
Facto s
A e
Looked
At?& bsp;

• You
  age
  a d
  ge e al
  health
• Blood
  p essu e
  a d
  how
  you
  hea t’s
  doi g
• How
  well
  you
  kid eys
  a d
  live
  a e
  fu ctio i g
• If
  you
  have
  diabetes,
  how
  well
  it’s
  bei g
  ma aged
• You
  BMI,
  but
  alo gside
  you
  b oade
  metabolic
  health,
  ot
  i
  isolatio
• A y
  i fectio s,
  ca ce s,
  o
  issues
  specific
  to
  the
  o ga
  i
  questio
• Whethe
  we’ e
  talki g
  about
  do atio
  & bsp;afte
  death
  o
  while
  you’ e
  still
  alive

The
message
is
simple:
do
ot
self-exclude
f om
o ga
do atio .
A
pe so
who
has
diabetes
mellitus,
is
ove weight,
o
is
above
60
may
still
have
o ga s
that
ca
save
a othe
life.
The
fi al
decisio
belo gs
to
the
t a spla t
a d
medical
teams
afte
a
comp ehe sive
evaluatio .
I
deceased
do atio ,
that
assessme t
is
made
at
the
time
of
death;
i
livi g
do atio ,
p otecti g
the
do o & squo;s
lo g-te m
health
emai s
the
fo emost
co side atio .

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