Can glycated hemoglobin act as a reliable glycemic indicator in patients with diabetic chronic kidney disease? evidence from the Northeast of Thailand

Abstract

ABSTRAK DM (AOR: 0,66, 95% CI: 0,86, p<0,05 ABSTRACTBackground: Chronic kidney diseases (CKD) is a common microvascular complication in patients with diabetes mellitus (DM) which requires adequate glycemic control. Glycated hemoglobin (HbA1c) is a conventional biomarker to estimate glycemic status, but its role in diabetic CKD patients is unclear. Therefore, this study aimed to determine whether patients with high HbA1c are associated to develop diabetic CKD.

Associations between Body Mass Index and Chronic Kidney Disease in Type 2 Diabetes Mellitus Patients: Findings from the Northeast of Thailand

“…The number of female patients with CKD was more when compared with their male counterparts. Our findings are similar to other large-scale studies where old age and female sex were found as a risk factor of CKD [ 11 32 ]. Our study found that T2DM patients with hypertension had 1.4 times high chances to get CKD which is similar to a previous report [ 33 ].…”

“…Though it is not certain that all diabetic patient will develop CKD, but the minimal damage to the kidney is frequent due to uncontrolled DM [ 9 10 ]. Another study suggested that age, sex, race, positive family history, high blood pressure, and dietary habit are the influencing factors for CKD [ 11 ]. Moreover, long-term hyperglycaemia due to uncontrolled DM can play a vital role to initiate renal vascular diseases [ 12 ].…”

Myostatin Level in CRF Patients With and Without Post-HCV Cirrhosis and Its Correlation With Bmi

“…Female patients with CKD were more as compared to male counterparts. The present data agreed with others as old-aged female was CKD risky (Zaman et al, 2016). This agreed also with Han et al (2011) who assessed the serum myostatin levels and grip strength among patients on maintenance hemodialysis compared to controls, but did not find difference in age and sex between patients and controls.…”