Current studies suggest that sugar-containing dialysate can effectively stabilize blood glucose levels, significantly reduce the occurrence of hypoglycemic events on dialysis, and help to stabilize blood pressure and improve heart rate variability, which is particularly important for diabetic patients with high cardiovascular and cerebrovascular risk. These findings reveal the potential value of sugar-containing dialysate in improving the quality of dialysis treatment in diabetic patients. However, further research is still needed to explore the safety and effectiveness of its long-term application.This paper reviews the effect of sugar-containing dialysate on blood glucose, blood pressure and heart rate variability during dialysis in maintenance hemodialysis patients with diabetes, aiming to explore the clinical application value of sugar-containing dialysate in the treatment of diabetes maintenance hemodialysis，and this review provides a scientific basis and research direction for clinical decision-making