Clinical and biochemical aspects associated with diabetic nephropathy among type 2 diabetic males in Gaza strip

  • Authors

    • Ayman Abu Mustafa Ministry of Health, Gaza, Palestine
    • Maged Yassin The Islamic University of Gaza
    2017-05-16
    https://doi.org/10.14419/ijm.v5i1.7603
  • Diabetic Nephropathy, Clinical and Biochemical Aspects, Gaza Strip.

  • Abstract

    Background: Diabetic nephropathy (DN) is the leading cause of end-stage renal disease, and the published data on various aspects of the disease is rare in Gaza Strip.

    Objective: to investigate clinical and biochemical aspects associated with DN among type 2 diabetic males in Gaza Strip.

    Methods: The study comprised 150 type 2 diabetic males from Gaza Strip. Data were obtained from a questionnaire interview, patients’ records, and biochemical analysis of blood and urine samples. Statistical analysis was performed using SPSS version 23.

    Results: The prevalence of DN was 71/150 (47.3%). Duration of diabetes in patients with DN was significantly higher than in patients without DN (p<0.001). Smoking, retinopathy, cardiovascular diseases (CVD) and neuropathy were significantly more frequent among patients with DN (p<0.05). Serum glucose, urea, creatinine, cholesterol and low-density lipoprotein cholesterol (LDL-C) were significantly higher, whereas high-density lipoprotein cholesterol (HDL-C) was significantly lower in patients with DN (p<0.05). Urinary albumin and Albumin/creatinine ratio (ACR) were 10 to 13 times higher in patients with DN. Conversely, glomerular filtration rate (GFR) was significantly lower in patients with DN (137.1±35.0 versus 187.8±70.8 ml/min/1.73m2, p<0.001). ACR showed significant positive correlations with duration of diabetes (r=0.311, p<0.001), glucose (r=0.308, p<0.001), urea (r=0.474, p<0.001), creatinine (r=0.356, p<0.001), cholesterol (r=0.307, p<0.001), LDL-C (r=0.319, p<0.001) and urinary albumin (r=0.942, p<0.001), and significant negative correlation with GFR (r=-0.297, p<0.001). The predicted factors of DN were duration of diabetes, smoking, retinopathy, CVD, neuropathy, glucose, urea, creatinine, cholesterol, LDL-C and GFR. The more to fewer effective predicted variables of ACR were urinary albumin, urea, creatinine, LDL-C, duration of diabetes, glucose, cholesterol and GFR.

    Conclusion: Management of some predicted factors of DN could delay the progression of the disease.

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  • How to Cite

    Abu Mustafa, A., & Yassin, M. (2017). Clinical and biochemical aspects associated with diabetic nephropathy among type 2 diabetic males in Gaza strip. International Journal of Medicine, 5(1), 142-148. https://doi.org/10.14419/ijm.v5i1.7603

    Received date: 2017-04-17

    Accepted date: 2017-05-12

    Published date: 2017-05-16