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ASSESSMENT OF KIDNEY DAMAGE THROUGH EGFR AND UACR INDICATORS IN PATIENTS WITH TYPE 2 DIABETES AT THE NATIONAL HOSPITAL OF ENDOCRINOLOGY, 2024–2025
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Abstract
Objective: This study aimed to determine the prevalence of kidney damage in patients with type 2 diabetes mellitus (T2DM) using two key indicators: estimated glomerular filtration rate (eGFR) and urine albumin-to-creatinine ratio (uACR). It also investigated the association between kidney damage and several related factors. Subjects and Methods: A cross-sectional descriptive study was conducted on 215 patients with T2DM at the National Hospital of Endocrinology from October 2024 to April 2025. Data were collected through interviews, clinical examinations, and laboratory tests. Statistical analysis was performed using SPSS version 27.0. Results: The proportion of patients with eGFR < 60 mL/min/1.73 m² was 17.2%. The proportion with uACR ≥ 30 mg/g was 24.2%. When combining both criteria, the overall prevalence of kidney damage was 34.4%. Significant associations were found between kidney damage and factors such as duration of hypertension, elevated serum uric acid, dyslipidemia, and several laboratory parameters. Conclusion: The prevalence of kidney damage among patients with T2DM remains high. Simultaneous evaluation of both eGFR and uACR is essential in screening for kidney damage to avoid underdiagnosis.
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Keywords
: eGFR, uACR, kidney complications, type 2 diabetes mellitus.
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