RELATIONSHIP BETWEEN TOTAL PLASMA BILIRUBIN CONCENTRATION WITH KIDNEY DAMAGE IN TYPE 2 DIABETES PATIENTS AT THAI NGUYEN NATIONAL HOSPITAL | Hằng | TNU Journal of Science and Technology

RELATIONSHIP BETWEEN TOTAL PLASMA BILIRUBIN CONCENTRATION WITH KIDNEY DAMAGE IN TYPE 2 DIABETES PATIENTS AT THAI NGUYEN NATIONAL HOSPITAL

About this article

Received: 22/05/24                Revised: 11/07/24                Published: 17/07/24

Authors

1. Vu Thi Thu Hang Email to author, TNU - University of Medicine and Pharmacy
2. Cao Xuan Cuong, Thai Nguyen National Hospital
3. Bui Thi Thu Huong, TNU - University of Medicine and Pharmacy
4. Nguyen Thi Phuong Lan, TNU - University of Medicine and Pharmacy
5. Nguyen Thi Ngoc Ha, TNU - University of Medicine and Pharmacy
6. Pham Thi Thu Ha, TNU - University of Medicine and Pharmacy
7. Nguyen Trung Thanh, TNU - University of Medicine and Pharmacy
8. Nguyen Thi Hai Yen, TNU - University of Medicine and Pharmacy

Abstract


The study was conducted to determine the relationship between total plasma bilirubin concentration and some tests with kidney damage. Low concentrations of total plasma bilirubin are considered a risk factor for kidney damage. The research on 320 patients of type 2 diabetes treated at Thai Nguyen National Hospital, we classified them into 2 groups with kidney damage and without kidney damage. The results of average total bilirubin concentration had a statistically significant difference with p<0.05 in the kidney damage group (11.8±3.9 μmol/L) and the non-kidney damage group (13.2±4.9 μmol/L). The results showed that in patients with kidney damage due to type 2 diabetes, there was a negative correlation between total plasma Bilirrubin concentration and Cholesterol concentration (r = -0.8, p < 0.05). There was a positive correlation between Proteinuria and Plasma glucose concentration (r = 0.2; p = 0.001). However, we have not found a statistically significant difference between total Bilirubin concentration and glomerular filtration rate. The study results show that more longitudinal monitoring is needed to determine the role of bilirubin in monitoring and assessing kidney damage.

Keywords


Serum bilirubin; Type 2 Diabetes mellitus; Plasma glucose; Chronic kidney disease; Glomerular filtration rate

References


[1] T. T. H. Bui, K. B. Cao, and T. M. Tran, “Relationship between the bilirubin total and degree of coronary artery disease at Thainguyen National hospital,” Vietnam medical Journal, vol. 1, no. 4, pp. 160-164, 2021.

[2] K. H. Ahn, S. S. Kim, W. J. Kim et al., “Low serum bilirubin level predicts the development of chronic kidney disease in patients with type 2 diabetes mellitus,” Korean J Intern Med, vol. 32, no. 5, pp. 875-882, 2017.

[3] P. F. You, H. Goyal, and G. D. Xu, “Serum bilirubin has an important role in multiple clinical applications,” J Lab Precis M, vol. 2, no. 82, pp. 1-8, 2017.

[4] M. Fukui, M. Tanaka, E. Shiraishi et al., “Relationship between serum bilirubin and albuminuria in patients with type 2 diabetes,” Kidney Int., vol. 74, pp. 1197-1201, 2008.

[5] M. Tanaka, M. Fukui, H. Okada, T. Senmaru, M. Asano, S Akabame et al., “Low serum bilirubin concentration is a predictor of chronic kidney disease,” Atherosclerosis, vol. 234, no. 2, pp. 421-425, 2014.

[6] N. T. Bui, “Plasma total bilirubin concentration and some factors related to the degree of kidney damage in patients with type 2 diabetes,” Master Thesis, Thai Nguyen University of Medicin and Pharmacy, 2021.

[7] T. Jiaxing, G. Pei, Y. Xu et al., “Serum Bilirubin Is Correlated with the Progression of IgA Vasculitis With Nephritis,” Front. Med, vol. 8, 2021, Art. no. 596151.

[8] S. S. Han, K. Y. Na, D. W. Chae et al., “High serum bilirubin is associated with the reduced risk of diabetes mellitus and diabetic nephropathy,” Tohoku J Exp Med., vol. 221, pp. 133-140, 2010.




DOI: https://doi.org/10.34238/tnu-jst.10435

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