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糖尿病患者肌酐水平升高增加了肾病发生的可能性及其与血尿素氮和肾小球滤过率的关联。

Enhanced Creatinine Level in Diabetic Patients Maximizing the Possibilities of Nephropathy and Its Association With Blood Urea Nitrogen and Glomerular Filtration Rate.

作者信息

Butt Batool, Ghulam Bushra, Bashir Zahira, Abbasi Sajid Rafique, Hussain Shoukat, Jadoon Sarosh Khan, Akbar Amna, Khan Mumtaz Ahmad

机构信息

Nephrology, Foundation University School of Health Sciences, Rawalpindi, PAK.

Biochemistry, Islamic International Medical College, Rawalpindi, PAK.

出版信息

Cureus. 2024 Sep 30;16(9):e70482. doi: 10.7759/cureus.70482. eCollection 2024 Sep.

Abstract

INTRODUCTION

Diabetes mellitus is a common metabolic disorder that is sometimes responsible for kidney diseases, especially in the form of diabetic nephropathy. In this study, we tried to investigate the markers associated with kidney diseases within diabetic patients as compared to non-diabetic participants.

METHODOLOGY

In this study, among 237 participants, 81 patients were diabetic, whereas 156 were non-diabetic participants. The level and association of serum creatinine, blood urea nitrogen (BUN), and glomerular filtration rate (GFR) were investigated using the enzymatic method and CKD-EPI equation respectively.

RESULT

We found significantly higher creatinine and BUN levels and lower GFR in the diabetic group compared to the non-diabetic group. Besides, we determined a positive association between creatinine and BUN, and an inverse relationship between GFR and creatinine and BUN respectively which was highly scattered in the case as compared to the non-diabetic group. Further analysis of the participants with high creatinine levels only supported the main outcomes.  Conclusion: Our investigation of kidney markers suggests a significant association between diabetes and kidney complications. Leading a healthy lifestyle and maintaining blood sugar and pressure may help to slow down the progress of diabetic nephropathy for diabetic patients.

摘要

引言

糖尿病是一种常见的代谢紊乱疾病,有时会引发肾脏疾病,尤其是糖尿病肾病这种形式。在本研究中,我们试图探究与非糖尿病参与者相比,糖尿病患者体内与肾脏疾病相关的标志物。

方法

在本研究的237名参与者中,81名患者患有糖尿病,而156名是非糖尿病参与者。分别采用酶法和CKD-EPI方程研究血清肌酐、血尿素氮(BUN)水平及肾小球滤过率(GFR)之间的关联。

结果

我们发现,与非糖尿病组相比,糖尿病组的肌酐和BUN水平显著更高,GFR更低。此外,我们确定了肌酐与BUN之间呈正相关,GFR与肌酐及BUN之间分别呈负相关,与非糖尿病组相比,这种情况高度分散。仅对肌酐水平高的参与者进行进一步分析也支持了主要结果。结论:我们对肾脏标志物的研究表明糖尿病与肾脏并发症之间存在显著关联。保持健康的生活方式以及控制血糖和血压可能有助于减缓糖尿病患者糖尿病肾病的进展。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d80/11522845/a1b898615a74/cureus-0016-00000070482-i01.jpg

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