Is renal impairment concealed in elderly diabetics????

Shastry, Rajeshwari and Adhikari, Prabha and Kotian, Shashidhar M. (2016) Is renal impairment concealed in elderly diabetics???? International Journal of Pharmacy and Pharmaceutical Sciences, 8 (12). pp. 163-166. ISSN 0975-1491

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Abstract

Objective: To compare and evaluate the renal profile of elderly and younger diabetics. Methods: This cross sectional study was conducted in a tertiary care teaching hospital. Patients with type-2-diabetes were grouped into elderly (age≥60years) and younger diabetics. Patients’ demographics, duration of diabetes and serum creatinine were recorded. Cockcroft-Gault formula was used to calculate creatinine clearance (Clcr). Statistical analysis was done using Students’‘t’ test and Pearson’s correlation. Regression analysis to adjust for covariables was done wherever required. Results: A total of 477 diabetics were included (elderly n=320, young n=157). Body mass index (BMI) was significantly lower (p=0.003) and duration of diabetes was significantly longer (p=0.001) among elderly. Significant difference was noted in serum creatinine (1.06±0.32 vs 0.95±0.29 mg/dl; p=0.0002) and Clcr (57.82±17.41 vs 88.07±24.60 ml/min; p=0.001) between elderly and younger diabetics. Only 4.7% of elderly, whereas 47.8% of young had normal Clcr. Clcr showed a negative correlation with age in elderly (r=-0.389, p<0.001) and young (r=-0.396, p<0.001) and positive correlation with BMI in elderly (r=0.401, p<0.001) and young(r=0.337, p<0.001). Regression analysis of Clcr in elderly and young showed a positive correlation for BMI and inverse relationship for age and duration of diabetes mellitus. Conclusion: Almost 95% of the elderly and 50% of younger diabetics had impaired creatinine clearance. Renal impairment was concealed in most of them since mean serum creatinine was 1 mg/dl. Indian elderly diabetics should be considered renally impaired and drugs for all conditions need adjustment for creatinine clearance.

Item Type: Article
Uncontrolled Keywords: Diabetes Mellitus, Creatinine clearance, Younger diabetics
Subjects: Medicine > KMC Mangalore > Pharmacology
Medicine > KMC Mangalore > Community Medicine
Depositing User: KMCMLR User
Date Deposited: 08 Jan 2018 05:59
Last Modified: 08 Jan 2018 05:59
URI: http://eprints.manipal.edu/id/eprint/147722

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