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Hemoglobin glycation index is associated with incident chronic kidney disease in subjects with impaired glucose metabolism: A 10-year longitudinal cohort study

Authors
 Kim, Wonjin  ;  Go, Taehwa  ;  Kang, Dae Ryong  ;  Lee, Eun Jig  ;  Huh, Ji Hye 
Citation
 JOURNAL OF DIABETES AND ITS COMPLICATIONS, Vol.35(1), 2021-01 
Journal Title
 JOURNAL OF DIABETES AND ITS COMPLICATIONS 
ISSN
 1056-8727 
Issue Date
2021-01
Keywords
Hemoglobin glycation index ; Chronic kidney disease ; Treatment-naive prediabetes and diabetes ; HbA1c ; Impaired glucose metabolism
Abstract
Aim: We investigated the associations between hemoglobin glycation index (HGI) and incident chronic kidney disease (CKD) in treatment-naive subjects with prediabetes or diabetes. Methods: We conducted a prospective cohort study comprising 2187 subjects with prediabetes or diabetes. HGI was calculated as the difference between the measured and predicted values of HbA1c using the linear relationship between HbA1c level and fasting plasma glucose levels. Incident CKD was considered if eGFR decreased to 60 mL/min/1.73 m(2) and by 25% from the baseline value during follow up. The hazard ratios (HRs) for incident CKD were calculated using Cox proportional hazards regression models. Results: The overall prevalence of CKD was 15.3% (n = 335) during the 10-year follow-up period. The prevalence of CKD increased significantly from the low to the high HGI groups. In the multivariate analysis, the highest HGI group showed the highest adjusted HR for incident CKD (HR, 1.57; 95% confidence interval, 1.06-2.34), and this remained significant even after adjusting for the HbA1c level. Conclusions: High HGI was associated with an increased risk of incident CKD among treatment-naive subjects with prediabetes or diabetes, suggesting that HGI may be used to predict CKD in these patients regardless of HbA1c levels. (C) 2020 Elsevier Inc. All rights reserved.
DOI
10.1016/j.jdiacomp.2020.107760
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Won Jin(김원진)
Lee, Eun Jig(이은직) ORCID logo https://orcid.org/0000-0002-9876-8370
Huh, Ji Hye(허지혜)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/181849
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