Association of pre-transplant risk factors with post-transplantation diabetes mellitus in kidney transplant recipients
10.3760/cma.j.cn421203-20210524-00157
- VernacularTitle:肾移植受者移植前风险因素与移植后糖尿病的相关性分析
- Author:
Rongxin CHEN
1
;
Jiali FANG
;
Lei ZHANG
;
Guanghui LI
;
Xingqiang LAI
;
Wei YIN
;
Hailin XU
;
Luhao LIU
;
Junjie MA
;
Zheng CHEN
Author Information
1. 广州医科大学附属第二医院移植科 511447
- Keywords:
Kidney transplantation;
Diabetes mellitus after kidney transplantation;
Risk factor
- From:
Chinese Journal of Organ Transplantation
2021;42(12):712-716
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the association of pre-transplant risk factors with diabetes mellitus after renal transplantation and examine the significance of preventing the occurrence in kidney transplantation recipients.Methods:A total of 290 kidney transplantation recipients were retrospectively reviewed at our transplantation center from August 2018 to May 2020.Diabetes mellitus after renal transplantation was employed as a primary outcome index.Multivariate Logistic regression model was utilized for constructing A (without adjusting for covariates)、B(covariates include: gender, dialysis mode, type of donation)and C(covariates include: gender, dialysis mode, type of donation, calcineurin inhibitor, antiproliferative drugs, primary disease, fasting blood glucose, 1 h postprandial blood glucose, fasting C peptide, 1 h and 2 h postprandial C peptide, fasting C-peptide index, 1 h postprandial C-peptide index, albumin, triglycerides, total cholesterol)to evaluate the relationship between diabetes mellitus after transplantation and age, body mass index, 2 h postprandial blood glucose(2 h-PG), HbA1c, and 2 h postprandial C-peptide index(2 h-CPI).Results:In model A, age [odds ratio(OR)1.1, 95% confidence interval( CI)1.0~1.1], BMI(OR 1.2, 95% CI 1.0~1.3), 2 h PG(OR 1.2, 95% CI 1.1~1.4), HbA1c(OR 2.7, 95% CI 1.5~4.9), 2 h-CPI(OR 0.7, 95% CI 0.5~1.0), model B/C had similar results with A. Age, BMI, 2 h PG and HbA1c were all risk factors for diabetes mellitus after transplantation while 2 h-CPI was a protective factor.Quartile stratification was analyzed by regression model.And trend test was significant( P<0.05). Conclusions:Age, BMI, 2 h PG, HbA1c and 2 h-CPI are correlated with diabetes mellitus after kidney transplantation.
