Anemia in diabetic nephropathy: prevalence, clinical and pathophysiological aspects

oleh: M V Shestakova, S A Martynov, A V Il'in, A P Kniazeva, M Sh Shamkhalova, I P Trubitsyna

Format: Article
Diterbitkan: "Consilium Medicum" Publishing house 2008-06-01

Deskripsi

Aim. To investigate detectability of anemia, its clinical and pathophysiological features in patients with diabetic nephropathy (DN). Material and methods. The trial included 1020 patients with type 1 and 2 diabetes mellitus (DM). DN was diagnosed in 50% of them. Incidence of anemia was compared in 92 DN patients in type 1 DM and in 230 patients with chronic glomerulonephritis (CGN). Concentration of erythropoietin (EP) in blood serum was measured in 94 DN patients in type 1 and 2 DM. Results. Anemia develops in type 1 and 2 DM patients free of DN and unaffected renal filtration function (glomerular filtration rate - GFR > 60 ml/min 1.73 m2) was 23.3 and 18.3%, respectively. In DN patients incidence rate of anemia depended on GFR and increased with growing severity of renal failure reaching 85.7% in GFR