2016, Number 3
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Arch Med Fam 2016; 18 (3)
Determination of Cystatin C as a Predictor of Renal Function in Patients with Type 2 Diabetes Mellitus
Zúñiga RNE, Ponce RER, Jiménez GI, Acevedo GO, Vicenteño AH
Language: Spanish
References: 15
Page: 55-63
PDF size: 171.56 Kb.
ABSTRACT
Objective: To determine plasma levels of cC in patients with Diabetes Mellitus.
Methods: Study Design: prospective, cross-sectional, comparative and observational.
Sample: nonrandom, 111 patients with type 2 diabetes, two groups: hospital and clinic, outpatient.
Variables: measurement of renal function and metabolic control partners.
Measurement: serum determinations of cC.
Analysis: descriptive and inferential (student T test, U of Mann-Whitney). Pearson correlation.
Results: There were significant differences in values for cC in patients with adequate metabolic control and in the clinic compared with hospital: Glycosylated hemoglobin (p = 0.015), total cholesterol (p = 0.030) and triglycerides (p = 0.001). Moderate inverse association between cC and creatinine clearance (Pearson correlation = - .436, p = 0.018).
Conclusions: The age and metabolic control are important markers for determining initial kidney damage in asymptomatic patients. cC is a prognostic marker of early renal damage in patients with type 2 diabetes, compared with the gold standard (creatinine clearance).
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