Analysis of risk factors for post-transplant diabetes mellitus in patients with renal transplants
10.3760/cma.j.issn.1674-6090.2019.06.003
- VernacularTitle: 肾移植术后新发糖尿病危险因素分析
- Author:
Xingqiang LAI
1
;
Lei ZHANG
;
Jiali FANG
;
Guanghui LI
;
Li LI
;
Hailin XU
;
Rongxin CHEN
;
Junjie MA
;
Zheng CHEN
Author Information
1. Organ Transplant Center, the Second Affiliated Hospital of Guangzhou Medical University, Guangzhou 510000, China
- Publication Type:Journal Article
- Keywords:
Kidney transplantation;
Post-transplant diabetes mellitus;
Risk factors
- From:
Chinese Journal of Endocrine Surgery
2019;13(6):450-455
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the incidence and risk factors contributing to post-transplant diabetes mellitus (PTDM) in kidney transplant recipients within one year post-transplantation.
Methods:A total of 293 non-diabetic kidney transplant recipients were retrospectively analyzed. Patients were divided into non-PTDM group and PTDM group according to the diagnostic criteria of diabetes mellitus. The incidence of PTDM was calculated and the potential risk factors of PTDM were analyzed by univariate and multivariate Logistic regression analysis.
Results:Among the 293 non-diabetic patients, 36 patients developed PTDM within 1 year, with an incidence of 12.3%. Multivariate Logistic analysis showed that age (OR 1.055, 95% CI 1.014-1.098, P=0.009) , body mass index [odd ratio (OR) 1.231, 95% confidence interval (CI) 1.084-1.398, P=0.001], polycystic kidney as the primary disease (OR 1.508, 95% CI 1.006-2.262, P=0.047) , 2-hour postprandial blood glucose (OR 1.186, 95% CI 1.04-1.53, P=0.011) , HbA1c (OR 1.732, 95% CI 1.075-3.428, P=0.015) and 1-hour postprandial blood C-peptide (OR 0.869, 95% CI 0.804-0.939, P=0.001) were independent risk factors for PTDM in kidney transplant recipients within 1-year post-transplantation.
Conclusion:Patients with older age, obesity, polycystic kidney as the primary disease, higher level of HbA1c and 2-hour postprandial blood glucose, and lower level of 1-hour postprandial blood C-peptide may have higher risk of developing PTDM.
