Search In this Thesis
   Search In this Thesis  
العنوان
The role of urlc acid in impairment of the gfr in nonproteinuric patients with type 2 diabetes mellitus /
المؤلف
Ibrahim, Mohamed El Tantawy.
هيئة الاعداد
باحث / Mohamed El Tantawy Ibrahim
مشرف / El-Metwally Lotfy El-Shahawy
مشرف / Ameh Bagat Hannalla
مشرف / Ashraf Talaat Mahmoud
مشرف / Samir Abd Alla El Sharkawy
الموضوع
Intrenal medicine.
تاريخ النشر
2011.
عدد الصفحات
161 p. ;
اللغة
الإنجليزية
الدرجة
الدكتوراه
التخصص
الطب الباطني
تاريخ الإجازة
1/1/2011
مكان الإجازة
جامعة بنها - كلية طب بشري - باطنه عامه
الفهرس
Only 14 pages are availabe for public view

from 178

from 178

Abstract

•this work has been carried out to find correlation between Uric Acid and kidney disease in type 2 DM patients.
• Our aim was to study the role of Uric Acid in impairment of GFR in nonproteinuric patients with type 2 DM.
In our study we found that:
• Increased uric acid levels were associated with increased risk of the development of hypertension and cardiovascular disease.
• Our study included 100 type 2 DM patients; 64 male and 36 female, range of age was 32-87 years, 22 patients were CRP positive, SUA range was 4.4-10.3 mg/dl, e-GFR range was 42-151 ML/min, FBS range was 125-211 mg/dl, DM duration range was 1-62 years and Cholesterol Level was167-292 mg/dl.
• In the patients with SUA < 7 mg/dl we found; the e-GFR was 101.56 ± 23.893 mL/min, FBS was 175.074 ± 29.51mg/dl and HBA1c was 7.242 ± 0.5489, In patients with SUA 7-8 mg/dl; the e-GFR was 95.75 ± 24.263 mL/min, FBS was 160.221 ± 22.22 mg/dl and HBA1c was 7.008 ± 0.3106 and in the patients with SUA > 8 mg/dl; the e-GFR was 91± 23.635 ml/min, FBS was 148.01 ± 27.10mg/dl and HBA1c was 7.592 ± 0.7840.
• In the patients with e-GFR < 60 mL/min we have found; SUA was 10.43 ± 2.811 mg/dl, FBS was 150.010 ± 11.342 mg/dl and HBA1c was 7.214 ± 0.6362, In the patients with e-GFR 60-89 mL/min; SUA was 7.02 ± 1.081 mg/dl, FBS was 138.121 ± 9.325 mg/dl and HBA1c was 7.042 ± 0.3813 and in the patients with e-GFR > 90 mL/min; SUA was 5.76 ± 1.876 mg/dl, FBS was 162.174 ± 14.865 mg/dl and HBA1c was 7.420 ± 0.6765.
• There was statistical significant correlation between SUA levels, and BMI, HbA1c, FBS, SBP, Cholesterol level and e-GFR.
• There was statistical significant correlation between e-GFR levels, and age, BMI, HbA1c, FBS and SUA.
• There was statistical significant negative Correlation between e-GFR and SUA.
• There was statistical non significant Correlation between CRP, and weight and BMI; positive with weight but negative with BMI.
• There was statistical Comparison between smoker and non smokers in different variables (SBP, DBP, e-GFR, SUA, CRP and Cholesterol level) and this Comparison was statistically non significant except in DBP was significant.
• There was statistical Comparison between male and female in e-GFR and SUA and this Comparison was statistically non significant.
Conclusion
UA is a Novel marker of inflammation and remodeling within the arterial vessel wall and hyperuricaemia caused renal microvascular disease; but Hyperuricaemia may also be caused secondarily by renal impairment.
Recommendation
SUA should be investigated in all patients with DM and CKD and treatment of Hyperuricemia.