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Type of Transplant
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Creatinine Clearance
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pancreas transplant alone (PTA)
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usually > 60 mL/min; may be given in 40-60 mL/min range
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sequential pancreas after kidney transplant (PAKT)
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usually > 40 mL/min
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pancreas and kidney transplant, simultaneous (SKPT)
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usually < 30 mL/min
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Diabetes status criteria
(1) presence of insulin-dependent diabetes mellitus
(2) presence of 2 or more diabetic complications (proliferative retinopathy, diabetic nephropathy, peripheral or autonomic neuropathy, microangiopathy, accelerated atherosclerosis, difficult glucose control with frequent ketoacidosis and/or hypoglycemia)
General health status criteria:
(1) sufficient cardiopulmonary function
(2) able to undergo surgery
(3) able to withstand immunosuppression
(4) absence of any organ failures other than renal failure
Patient status criteria:
(1) emotionally and psychologically suitable
(2) sufficient social support and economic resources
(3) compliant with long term drug regimens
