Serum cystatin C as an indicator for early detection of diabetic nephropathy in type 2 diabetes mellitus

Autor: Ayman El Badawy, Mohamed Shawky El-Sayed, Abdelmon'em Ahmed, Amr Mohamed, Rasha Salah Omar
Rok vydání: 2019
Předmět:
Zdroj: Diabetes & Metabolic Syndrome: Clinical Research & Reviews. 13:374-381
ISSN: 1871-4021
Popis: Background Diabetes mellitus (DM) refers to a group of common metabolic disorders that share the phenotype of hyperglycemia. The metabolic dysregulations associated with DM causes secondary pathophysiological changes in multiple organ systems which result in various complications, responsible for the morbidity and mortality associated with the disease. Methods The present study was carried out on 40 patients with type 2 diabetes mellitus, who were recruited from those attending outpatient clinic and inpatient of Internal Medicine Department at The National Institute of Diabetes and Endocrinology from January 2017 to june 2017. Results The mean Cystatin C values in Group I were 0.74, group II were 1.07. and in Group III were 3.25, The results show that the Cystatin C values were raised even in the patients with Normoalbuminuria with GFR ≥90 whom clinical albuminuria had not yet started. Conclusions serum Cystatin C may be considered as an early marker, than microalbuminuria and serum creatinine, the commonly used marker for nephropathy, for declining renal function, in diabetic subjects. Further studies in larger population are needed to confirm this result.
Databáze: OpenAIRE