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Published on: February 9, 2021
Urinary stone disease in diabetes mellitus
Nezih Meydan1, Sabri Barutca, Sezer Caliskan
1Department of Internal Medicine, Dokuz Eylul University Hospital, Izmir, Turkey.
Diabetes mellitus (DM) increases the risk of urinary stone disease (USD). Diabetics showed higher USD prevalence and recurrence rates compared to controls, with alcohol consumption being a significant risk factor.
Area of Science:
- Nephrology
- Endocrinology
- Urology
Background:
- Diabetes mellitus (DM) and urinary stone disease (USD) are prevalent conditions.
- The association between DM and USD has not been extensively studied.
- Understanding this link is crucial for patient management.
Purpose of the Study:
- To investigate the prevalence and risk factors of urinary stone disease (USD) in patients with diabetes mellitus (DM).
- To compare USD rates and recurrence between diabetic patients and non-diabetic controls.
Main Methods:
- Evaluated 286 diabetic patients and 111 age-matched controls.
- Utilized direct urinary system X-ray, ultrasonography, and intravenous pyelography.
- Assessed medical history, risk factors, and clinical aspects of USD.
Main Results:
- Higher prevalence of USD (21% vs 8%) and recurrence rates in diabetics.
- Significant risk factors for USD in diabetics included family history, male gender, and alcohol consumption.
- Increased prevalence of crystaluria and positive urine culture in diabetic patients.
Conclusions:
- Diabetes mellitus is identified as a significant risk factor for the development of urinary stone disease.
- Findings highlight the need for increased awareness and tailored prevention strategies for USD in diabetic populations.
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