In patients with type 2 diabetes kidney disease clinical factors associated with renal tubular function analysis

JIA Xiaowei,LUAN Jin,ZHANG Nanyan,LI Lan,ZHAO Lin,and JIA Hetang

Medical Journal of the Chinese People Armed Police Forces ›› 2013, Vol. 24 ›› Issue (5) : 387-389.

Medical Journal of the Chinese People Armed Police Forces ›› 2013, Vol. 24 ›› Issue (5) : 387-389.

In patients with type 2 diabetes kidney disease clinical factors associated with renal tubular function analysis

  • JIA Xiaowei1,LUAN Jin2,ZHANG Nanyan3,LI Lan1,ZHAO Lin1,and JIA Hetang1
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Abstract

Objective To discuss the clinical implications of urinary β2 microglobulin(U-β2-MG)and its related factors in T2 Diabetes Mellitus patients with diabetic nephropathy(DN). Methods We collected 171 diagnosed DN patients (male 109, female 62). Correlation analysis of U-β2-MG and the other clinical test items was made. Correlation analysis was made again after we divided patients into three groups: simple DM , DM with hypertension, DM with hypertension and hyperlipidemia. Results Positive correlation between levels of U-β2-MG and indices as A1β, IgG, a1-MG, level of SCr and SBP was found. Within group DM, levels of U-β2-MG had an significantly positive correlation with levels of CHO、HDL、BUN, while showing negative correlation with GFR. In the group of DM with hypertension, there was a positive correlation with levels of U-β2-MG and those of SBP,CHO,LDL,SCr, and a negative correlation with GFR . In the last group, there was an significantly positive correlation between levels of U-β2-MG and DBP,LDL,BUN,and still a negative correlation with level of U-β2-MG and GFR. Conclusions Damage of Tubule interstitial is easily found in DN patients. U-β2-MG was negatively correlated with GFR, indicating that U-β2-MG has already increased when GFR slightly decreased. The produce of U-β2-MG is closely related to the level of blood glucose ,blood pressure, and lipid level. U-β2-MG was significantly associated with CHO, LDL-C, SCr, which showed that early active control of blood lipid might have positive effects on the prognosis of DN, especially in aspect of avoiding renal tubular damage.

Key words

type 2 diabetic nephropathy / kidney tubule / relevant analysis

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JIA Xiaowei,LUAN Jin,ZHANG Nanyan,LI Lan,ZHAO Lin,and JIA Hetang. In patients with type 2 diabetes kidney disease clinical factors associated with renal tubular function analysis[J]. Medical Journal of the Chinese People Armed Police Forces. 2013, 24(5): 387-389

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