Diabetic nephropathy. Clinical observations and prognosis

Area of Science:

• Nephrology
• Diabetology
• Cardiology

Background:

• Diabetes mellitus is a leading cause of end-stage renal disease (ESRD).
• Patients with diabetes often have comorbidities affecting prognosis.
• Predictive markers for mortality in diabetic ESRD patients are crucial.

Purpose of the Study:

• To investigate the prognostic value of clinical observations in diabetic patients with kidney disease.
• To identify factors associated with mortality in patients on dialysis or post-renal transplantation.

Main Methods:

• Retrospective study of 38 diabetic patients.
• Analysis of clinical observations including cardial ectasia, diabetic retinopathy, and diabetes duration.
• Correlation of these factors with patient mortality.

Main Results:

• Cardial ectasia was significantly correlated with higher mortality.
• The degree of diabetic retinopathy showed no significant prognostic value.
• The duration of diabetes was also found to be without prognostic importance.

Conclusions:

• Cardial ectasia is a significant predictor of mortality in diabetic patients with advanced kidney disease.
• Diabetic retinopathy and diabetes duration are not reliable prognostic indicators in this population.
• Further research into cardiac complications in diabetic nephropathy is warranted.