›› 2018, Vol. 36 ›› Issue (8): 575-.doi: 10.3969/j.issn.1000-3606.2018.08.002

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Clinical significance of glomerular hyperfiltration in assessment of early renal damage in childhood type 1 diabetes

 SUN Hui1, XUE Ying2, HUANG Feng3, WU Haiying1, XIE Rongrong1, WANG Fengyun1, CHEN Xiuli1, CHEN Ting1, CHEN Linqi1   

  1. 1. Department of Endocrinology, Genetics, and Metabolism, Children’s Hospital Affiliated to Soochow University, Suzhou 215000, Jiangsu, China; 2. Department of Endocrinology, Xuzhou Children’s Hospital, Xuzhou 221000, Jiangsu, China;
     3. Department of Pediatrics, Affiliated Hospital of Nantong University, Nantong 226000, Jiangsu, China
  • Received:2018-08-15 Online:2018-08-15 Published:2018-08-15

Abstract: Objective To investigate the screening value of glomerular hyperfiltration (GHF) in early renal damage of type 1 diabetes. Methods The estimated glomerular filtration (eGFR) was calculated using the Macisaac’s equation in 100 cases of type 1 diabetes. According to eGFR’s level, the diabetes were divide into two groups: Normo-GFR group, 57 cases; and GHF group , 43 cases. The age, course of disease, glycosylated hemoglobin (HbA1c)、triglyceride (TG), renal glomerular damage indexes (UACR), and renal tubular damage indexes (urinary NAG/Cr, urinary α1-MG/Cr and serum NGAL) of each group were observed. Results The HbA1c and TG values in the GHF group was significantly higher than those in the Normo-GFR group(P<0.05). Serum NGAL values in the GHF group was significantly lower than those in the Normo-GFR group (P>0.05). The UACR, urine NAG/Cr and urine α1-MG/Cr values between the GHF group and Normo-GFR group were not significantly different. Logistic regression analysis showed shorter diabetes duration and higher HbA1c levels were important influence factors of whether diabetes patients had hyperfiltration. Conclusions GHF may reflect abnormal glucose and lipid metabolism that could be detected at early stage of the type 1 diabetes, but its independent correlation with diabetic kidney damage needs further research.