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Diabetes mellitus type 2 does not influence carotid stiffness in patients on maintenance hemodialysis

Open Access
|Dec 2021

Figures & Tables

Basic demographic, clinical, hemodialysis, and laboratory data in the diabetic and non-diabetic groups_

Diabetic N=37 median (IQR)Non diabetic N=53 median (IQR)p
Age [years]67 [59-76]62 [46-76]0.13
Male gender, n (%)15 [40.55]28 [52.83]0.25
Female gender, n (%)22 [59.45]25 [47.17]0.25
Weight before hemodialysis [kg]74.4 [61.2-91.3]67.7 [60.9-80.3]0.40
Body mass index [kg/m2]27.3 [22.5-30.8]24.6 [23.0-27.6]0.06
Left ventricular ejection fraction [%]60 [50-65]60 [50-60]0.94
Duration of HD therapy [months]31.0 [10-58.5]33.8 [9.5-95.0]0.68
Ultrafiltration [L]1.9 [1.3-2.5]1.8 [1.0-2.0]0.20
Adequacy of hemodialysis [kT/V]1.28 [1.11-1.50]1.40 [1.10-1.65]0.22
SBP before HD [mmHg]145 [120-150]145 [130-160]0.43
SBP after HD [mmHg]140 [125-160]130 [120-158]0.56
DBP before HD [mmHg]70 [60-80]80 [70-90]0.019
DBP after HD [mmHg]73 [65-80]80 [70-89.5]0.27
HR before HD [mmHg]75 [61-86]72 [67-79]0.72
HR after HD [mmHg]72.5 [63-83]80 [65-84]0.55
Urea before HD [mg/dl]114 [92-132]117 [99-137]0.65
Urea after HD [mg/dl]36 [27-47]35 [26-46]0.68
Creatinine before HD [mg/dl]6.46 [3.35-7.95]8.04 [5.57-9.65]0.038
Creatinine after HD [mg/dl]2.73 [1.99-3.81]2.73 [2.15-4.26]0.44
Hemoglobin [g/dl]10.8 [9.4-11.4]10.4 [9.5-12.1]0.95
Total cholesterol [mg/dl]167 [142-209]171 [146-209]0.76
High-density lipoprotein [mg/dl]40 [34-46]42 [36-48]0.58
Low-density lipoprotein [mg/dl]92 [69-129]95 [76-120]0.83
Triglycerides [mg/dl]165 [119-263]146 [95-221]0.13
C-reactive protein [mg/l]5.63 [3.03-23.07]8.48 [3.2-19.5]0.69
Glucose [mg/dl]153 [118-203]98 [90-112]< 0.001

Chronic kidney disease etiology

Diabetic N=37 n (%)Nondiabetic N=53 n (%)P
Hypertensive nephropathy22 (59.5)11 (20.8)<0.001
Diabetic nephropathy8 (21.6)0 (0)<0.001
Chronic glomerular disease3 (8.1)21 (39.6)<0.001
Polycystic kidney disease1 (2.7)7 (13.2)0.18
Interstitial nephropathy2 (5.4)8 (15.1)0.12
Other1 (2.7)7 (13.2)0.08

Cardiovascular co-morbidity

Diabetic N=37 n (%)Non-diabetic N=53 n (%)P
Arterial hypertension31 (83.8)38 (71.7)0.18
Myocardial infarction8 (21.6)7 (13.2)0.29
Coronary artery disease21 (56.8)17 (32.1)0.02
Coronary artery bypass graft6 (16.2)1 (1.9)0.01
Percutaneous cardiac intervention9 (24.3)7 (13.2)0.17
Stroke8 (21.6)4 (7.6)0.053

Cardiovascular and non-cardiovascular mortality – comparison in both groups

Survived N=47 ptsCardiovascular death N=19 ptsNon-cardiovascular death N=24 pts
Non-diabetic patients N=5374.47% (35)52.63% (10)33.33% (8)
Diabetic patients N=3725.53% (12)47.37% (9)66.67% * (16)

Carotid stiffness parameters assessed by means of echo tracking between diabetic and non-diabetic patients

Diabetic N=37 median (IQR)Non-diabetic N=53 median (IQR)p
β before HD7.65 [5.35–10.55]7.85 [4.7–10.8]0.91
β after HD7.7 [5.3–9.0]7.1 [5.35–8.65]0.53
PWV β before HD [m/s]5.95 [4.55–7.15]5.9 [4.8–7.3]0.77
PWV β after HD [m/s]5.8 [4.7–6.5]5.8 [5.100–6.425]0.92
AC before HD [mm2/kPa]0.71 [0.56–1.24]0.795 [0.530–1.020]0.49
AC after HD [mm2/kPa]0.87 [0.68–1.04]0.765 [0.570–1.000]0.29
Ep before HD [kPa]103 [67–146]116 [69–155]0.76
Ep after HD [kPa]99 [68–139]95 [72–119]0.64
Language: English
Page range: 1012 - 1019
Submitted on: Mar 8, 2021
Accepted on: Aug 17, 2021
Published on: Dec 30, 2021
Published by: Hirszfeld Institute of Immunology and Experimental Therapy
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2021 Konrad Rekucki, Agnieszka Sławuta, Marta Obremska, Katarzyna Madziarska, published by Hirszfeld Institute of Immunology and Experimental Therapy
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.