The Relationship of diabetes dialysis prevention to glycemic control and renal function in a retrospective study

DOI Open Access
  • Yoshida Megumi
    Department of Nursing, Division of Health Sciences, Graduate School of Medical Sciences, Kyushu University
  • Yakushiji Kanako
    Department of Nursing, Division of Health Sciences, Graduate School of Medical Sciences, Kyushu University
  • Nagafuchi Miki
    Saga University Hospital
  • Tanaka Rumi
    Kitasato University School of Nursing
  • Kajino Miho
    Kyushu University Hospital
  • Fujita Kimie
    Department of Nursing, Division of Health Sciences, Graduate School of Medical Sciences, Kyushu University

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Other Title
  • 後方視的調査による糖尿病透析予防指導と血糖管理および腎機能との関連

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<p>Objective：To implement a 6-year retrospective study of patients with diabetic nephropathy and to determine the relationship between individual preventive guidance through team-based medical care and assessment indices such as renal function and glycemic control.</p><p>Methods：Patients with stage 2 or later nephropathy were divided into the group with individual prevention guidance（intervention group）and the usual care group（non-intervention group）. Multiple regression analysis was used to compare them for assessment indices based on their medical records, with HbA1c, eGFR, and blood pressure as the dependent variables.</p><p>Results：The study included 224 subjects in the intervention group and 209 subjects in the non-intervention group. At baseline, HbA1c was significantly higher in the intervention group（7.5［6.8-8.9］%）than in the non-intervention group（7.2［6.6-8.1］%）（p＜0.05）, but it improved significantly in the intervention group at the end of the observation period（p＜0.01）. In addition, more frequent interventions were effective in maintaining or improving HbA1c, and eGFR deteriorated in stage 3 or later nephropathy at the baseline.</p><p>Conclusion：Although preventive guidance showed limitations in patients with advanced nephropathy, it was effective for glycemic control.</p>

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