Predictive Value of Serum Uric Acid to HDL Cholesterol Ratio for Diabetic Kidney Injury in Type 2 Diabetes

NCT ID: NCT06349850

Last Updated: 2024-05-16

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

NOT_YET_RECRUITING

Total Enrollment

100 participants

Study Classification

OBSERVATIONAL

Study Start Date

2024-06-30

Study Completion Date

2024-09-30

Brief Summary

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An prospective observetional study to asses the predictive value of serum uric acid to high density lipoprotein cholesterol ratio for diabetic kidney injury in type 2 diabetes

Detailed Description

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Diabetic Kidney Injury (DKI) is a serious microvascular complication of diabetes mellitus occuring in about 20 % to 50% of diabetic patients and is the single commonest cause of ESRD.DKI is asociated with arterial HTN and increased cardiovascular morbidity and mortality. outcomes for both type 1 DM and type 2 DM who develop DKI are significantly worse than who do not .Serum uric acid was reported to be asociated with inflamatory and metabolic diseases such as metabolic syndrome , type 2 DM,thyroiditis and NAFLD while HDL-cholesterol decreased the odds of developing DKI by 20%.It is generally accepted that hyperuricemia and low HDL-c were considered to be a risk factor of other indicators for development of DKI.

Conditions

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Diabetic Kidney Injury

Study Design

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Observational Model Type

CASE_CROSSOVER

Study Time Perspective

PROSPECTIVE

Study Groups

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HbA1c level group

* well controlled diabetic group : HBA1c less than 7%
* poorly controlled diabetic group : HBA1c equal to ore more than 7%

serum uric acid level to plasma HDL-c level ratio (UHR)

Intervention Type DIAGNOSTIC_TEST

high UHR is considered to be a risk factor for development of DKI in type 2 DM

UHR level group

median levels of UHR will be used to dichotomize the patients into groups of :

* low UHR group
* high UHR group

serum uric acid level to plasma HDL-c level ratio (UHR)

Intervention Type DIAGNOSTIC_TEST

high UHR is considered to be a risk factor for development of DKI in type 2 DM

DKI group

study population will be grouped into another two groups according to the presence of DKI:

* patients with DKI
* patients without DKI

serum uric acid level to plasma HDL-c level ratio (UHR)

Intervention Type DIAGNOSTIC_TEST

high UHR is considered to be a risk factor for development of DKI in type 2 DM

Interventions

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serum uric acid level to plasma HDL-c level ratio (UHR)

high UHR is considered to be a risk factor for development of DKI in type 2 DM

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

* Type 2 diabetic patients
* willing and agreed to be included in the study

Exclusion Criteria

* Type 1 DM patients
* patients with active urinary sediment
* patients with glomerulonephritis
* patients with diagnosis or clinical features that are suspicious for another systemic disease that commonly causes kidney disease
* patients with evidence of alternative kidney disease
* patients with history of kidney transplantation
* patients with end stage renal disease
* patients with family history of non diabetic forms of kidney disease
* patients with active malignancy
* patients with established hemolytic disease
* CKD patients requiring dialysis
* patients taking drugs that interfere with serum uric acid level
* patients taking drugs that alter serum lipids level
* pregnancy
* Refused to consent to this study
Minimum Eligible Age

18 Years

Maximum Eligible Age

90 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Sohag University

OTHER

Sponsor Role lead

Responsible Party

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Eldeeb Elsayed Mohamed

Eldeeb Elsayed Mohamed

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Eldeeb E. Mohamed

Role: PRINCIPAL_INVESTIGATOR

Sohag University

Central Contacts

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Eldeeb E. Mohamed, Resident

Role: CONTACT

01092700322

Ali T. Ali, Professor

Role: CONTACT

01005871047

References

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Evans K, Pyart R, Steenkamp R, Whitlock T, Stannard C, Gair R, McCann J, Slevin J, Medcalf J, Caskey F. UK Renal Registry 20th Annual Report: Introduction. Nephron. 2018;139 Suppl 1:1-12. doi: 10.1159/000490958. Epub 2018 Jul 10. No abstract available.

Reference Type BACKGROUND
PMID: 29990996 (View on PubMed)

Koye DN, Shaw JE, Reid CM, Atkins RC, Reutens AT, Magliano DJ. Incidence of chronic kidney disease among people with diabetes: a systematic review of observational studies. Diabet Med. 2017 Jul;34(7):887-901. doi: 10.1111/dme.13324. Epub 2017 Mar 9.

Reference Type BACKGROUND
PMID: 28164387 (View on PubMed)

Saeedi P, Petersohn I, Salpea P, Malanda B, Karuranga S, Unwin N, Colagiuri S, Guariguata L, Motala AA, Ogurtsova K, Shaw JE, Bright D, Williams R; IDF Diabetes Atlas Committee. Global and regional diabetes prevalence estimates for 2019 and projections for 2030 and 2045: Results from the International Diabetes Federation Diabetes Atlas, 9th edition. Diabetes Res Clin Pract. 2019 Nov;157:107843. doi: 10.1016/j.diabres.2019.107843. Epub 2019 Sep 10.

Reference Type BACKGROUND
PMID: 31518657 (View on PubMed)

National Kidney Foundation. KDOQI Clinical Practice Guideline for Diabetes and CKD: 2012 Update. Am J Kidney Dis. 2012 Nov;60(5):850-86. doi: 10.1053/j.ajkd.2012.07.005.

Reference Type BACKGROUND
PMID: 23067652 (View on PubMed)

Other Identifiers

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Soh-Med-24-03-06MS

Identifier Type: -

Identifier Source: org_study_id

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