Glycemic patterns and factors associated with post-hemodialysis hyperglycemia among end-stage renal disease patients undergoing maintenance hemodialysis / (Record no. 1871)

MARC details
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fixed length control field 02487nam a22002417a 4500
003 - CONTROL NUMBER IDENTIFIER
control field DOH
005 - DATE AND TIME OF LATEST TRANSACTION
control field 20201127113305.0
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245 00 - TITLE STATEMENT
Title Glycemic patterns and factors associated with post-hemodialysis hyperglycemia among end-stage renal disease patients undergoing maintenance hemodialysis /
Statement of responsibility, etc. Abdul Hanif Khan Yusof Khan [and four others]
520 3# - SUMMARY, ETC.
Summary, etc. Introduction. Chronic and post-prandial hyperglycemia are independent risk factors for diabetic complications.<br/>Glycemic patterns among hemodialysis end-stage-renal-disease (ESRD) differ as glucose metabolism changes with<br/>declining kidney function with more pronounced glycemic fluctuations. The objectives of this study are to determine<br/>glycemic patterns on hemodialysis days, the magnitude of post-hemodialysis rebound hyperglycemia (PHH) and<br/>their associated factors.<br/>Methodology. 148 patients on hemodialysis were analysed, 91 patients had end-stage-diabetic-renal disease<br/>(DM-ESRD), and 57 patients had end-stage-non-diabetic renal disease (NDM-ESRD). Glycemic patterns and PHH<br/>data were obtained from 11-point and 7-point self-monitoring blood glucose (SMBG) profiles on hemodialysis and<br/>non-hemodialysis days. PHH and its associated factors were analysed with logistic regression.<br/>Results. Mean blood glucose on hemodialysis days was 9.33 [SD 2.7] mmol/L in DM-ESRD patients compared to 6.07<br/>[SD 0.85] mmol/L in those with NDM-ESRD (p<0.001). PHH occurred in 70% of patients and was more pronounced<br/>in DM-ESRD compared to NDM-ESRD patients (72.5% vs 27.5%; OR 4.5). Asymptomatic hypoglycemia was<br/>observed in 18% of patients. DM-ESRD, older age, previous IHD, obesity, high HbA1c, elevated highly-sensitive CRP<br/>and low albumin were associated with PHH.<br/>Conclusion. DM-ESRD patients experienced significant PHH in our cohort. Other associated factors include older<br/>age, previous IHD, obesity, high HbA1c, elevated hs-CRP and low albumin.
580 ## - LINKING ENTRY COMPLEXITY NOTE
Linking entry complexity note In: Journal of the ASEAN Federation of Endocrine Societies 2020 vol. 35 (1) pages: 68-76
650 #2 - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Renal Dialysis
650 #2 - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Diabetes Complications
650 #2 - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Hyperglycemia
General subdivision complications
650 #2 - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Risk Factors
653 ## - INDEX TERM--UNCONTROLLED
Uncontrolled term Glycemic Variability
700 1# - ADDED ENTRY--PERSONAL NAME
Personal name Abdul Hanif Khan Yusof Khan
700 1# - ADDED ENTRY--PERSONAL NAME
Personal name Nor Fadhlina Zakaria
700 1# - ADDED ENTRY--PERSONAL NAME
Personal name Muhammad Adil Zainal Abidin
856 ## - ELECTRONIC LOCATION AND ACCESS
Uniform Resource Identifier <a href="https://asean-endocrinejournal.org/index.php/JAFES/article/view/769/1285">https://asean-endocrinejournal.org/index.php/JAFES/article/view/769/1285</a>
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Journal Article
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-- 1871
-- 1871
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        DOH Central Library DOH Central Library Electronic Resource Section 11/27/2020   E000157 D0001E000157 11/27/2020 11/27/2020 Journal Article