Patients with Type 1 diabetes mellitus who are experiencing serious complications that include kidney failure may be considered for a kidney-pancreas transplant at Sutter Transplant Services.

Each patient referred to Sutter Transplant Services undergoes a 7-step evaluation process to determine whether he or she is likely to benefit from a transplant and to ensure there are no additional health conditions that would put him or her at risk.

1. Clinic Appointment:
   History and physical performed by physician toidentity problems and determine if a transplant is the best option for you.Determine if a living donor is available to donate a kidney to you.
2. Blood Tests:
   To determine any pre-existing health conditions and todetermine matching criteria
3. Chest X-ray:  
   To determine lung function
4. Electrocardiogram(EKG):
   To check heart function
5. Social Work Consultation:
   Discussion of psych-social issues, copingmechanisms, etc.
6. Transplant Teaching:
   To explain the transplant process and yourresponsibilities and expectations after transplant.
7. Financial Consultation:
   Discussion of financial responsibilities andunderstanding your transplant benefits.
8. Additional Testing or Evaluation:  
   Determined by physician and/or Transplant Committee (such as cardiac evaluation).

Once the evaluation process is completed, an outline of your medicalevaluation and results are then presented to the Transplant Committee. Thecommittee accepts or denies a transplant.

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