NGHIÊN CỨU SỰ BIẾN ĐỔI GLUCOSE MÁU GIAI ĐOẠN SỚM SAU GHÉP THẬN VÀ MỐI LIÊN QUAN VỚI TÌNH TRẠNG RỐI LOẠN DUNG NẠP GLUCOSE TRƯỚC GHÉP

Abstract

Objectives: To evaluate the variation of blood glucose in the early period (≤ 45 days) after kidney transplantation and the relationship to impaired glucose tolerance before kidney transplantation. Method: This study was a descriptive study, longitudinal follow-up of 100 kidney transplant patients from living donors at 103 Military Hospital from March 2023 to December 2023, with a post-transplant follow-up period ³ 1,5 months. Results: The incidence of patients with impaired fasting blood glucose before transplantation, impaired glucose tolerance before transplantation and early hyperglycemia after kidney transplantation were 2%, 23% and 74%, respectively. Blood glucose was highest immediately after kidney transplant and gradually decreased over time during the study. Patients with impaired glucose tolerance before transplantation have a 4,75 times higher risk of early hyperglycemia after kidney transplantation than patients without impaired glucose tolerance before transplantation, p<0,05. Conclusion: Blood glucose concentration increased highest immediately after kidney transplantation and gradually decreased over the course of the study period. Impaired glucose tolerance before transplantation is a clear risk factor for hyperglycemia after kidney transplantation.