Glucose and Lipid Metabolism Abnormalities among Patients with Autosomal Dominant Polycystic Kidney Disease

Introduction: Autosomal dominant polycystic kidney disease (ADPKD) is the most prevalent monogenic renal disease with a prevalence of 1:1,000 births and it is the 4th most common cause of dialysis-dependent end-stage renal disease (ESDR). Recent reports suggest an association between APDKD and metab...

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Main Authors: Magda Fliszkiewicz, Mariusz Niemczyk, Andrzej Kulesza, Anna Łabuś, Leszek Pączek
Format: Article
Language:English
Published: Karger Publishers 2019-11-01
Series:Kidney & Blood Pressure Research
Subjects:
Online Access:https://www.karger.com/Article/FullText/503423
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author Magda Fliszkiewicz
Mariusz Niemczyk
Andrzej Kulesza
Anna Łabuś
Leszek Pączek
author_facet Magda Fliszkiewicz
Mariusz Niemczyk
Andrzej Kulesza
Anna Łabuś
Leszek Pączek
author_sort Magda Fliszkiewicz
collection DOAJ
description Introduction: Autosomal dominant polycystic kidney disease (ADPKD) is the most prevalent monogenic renal disease with a prevalence of 1:1,000 births and it is the 4th most common cause of dialysis-dependent end-stage renal disease (ESDR). Recent reports suggest an association between APDKD and metabolic derangements, particularly impaired glucose metabolism. Methods: In this cross-sectional study we analyzed data obtained from case records of 189 patients with ADPKD, including kidney transplant recipients, managed in an outpatient department. Results: The mean BMI was 25.4 ± 3.9; 25.25 before and 27.7 after transplan­tation. A fasting glucose level above 100 mg/dL (5.6 mmol/L) was observed in 60 patients (29%) – 27% without transplantation and 41% kidney transplant recipients. Diabetes mellitus was diagnosed in 17 patients (8.9%), including 3 (2.3%) without a history of transplantation and 14 (24.1%) after kidney transplantation (p < 0.01). We observed dyslipidemia in 30% and hyperuricemia in 53% of patients. Conclusion: Demonstrated metabolic abnormalities should be considered in maintenance of ADPKD patients, including kidney transplant recipients.
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spelling doaj.art-160bf631a27e42cb864251f53e7244e92022-12-22T01:25:12ZengKarger PublishersKidney & Blood Pressure Research1420-40961423-01432019-11-014461416142210.1159/000503423503423Glucose and Lipid Metabolism Abnormalities among Patients with Autosomal Dominant Polycystic Kidney DiseaseMagda FliszkiewiczMariusz NiemczykAndrzej KuleszaAnna ŁabuśLeszek PączekIntroduction: Autosomal dominant polycystic kidney disease (ADPKD) is the most prevalent monogenic renal disease with a prevalence of 1:1,000 births and it is the 4th most common cause of dialysis-dependent end-stage renal disease (ESDR). Recent reports suggest an association between APDKD and metabolic derangements, particularly impaired glucose metabolism. Methods: In this cross-sectional study we analyzed data obtained from case records of 189 patients with ADPKD, including kidney transplant recipients, managed in an outpatient department. Results: The mean BMI was 25.4 ± 3.9; 25.25 before and 27.7 after transplan­tation. A fasting glucose level above 100 mg/dL (5.6 mmol/L) was observed in 60 patients (29%) – 27% without transplantation and 41% kidney transplant recipients. Diabetes mellitus was diagnosed in 17 patients (8.9%), including 3 (2.3%) without a history of transplantation and 14 (24.1%) after kidney transplantation (p < 0.01). We observed dyslipidemia in 30% and hyperuricemia in 53% of patients. Conclusion: Demonstrated metabolic abnormalities should be considered in maintenance of ADPKD patients, including kidney transplant recipients.https://www.karger.com/Article/FullText/503423autosomal dominant polycystic kidney diseasediabetes mellituskidney transplant
spellingShingle Magda Fliszkiewicz
Mariusz Niemczyk
Andrzej Kulesza
Anna Łabuś
Leszek Pączek
Glucose and Lipid Metabolism Abnormalities among Patients with Autosomal Dominant Polycystic Kidney Disease
Kidney & Blood Pressure Research
autosomal dominant polycystic kidney disease
diabetes mellitus
kidney transplant
title Glucose and Lipid Metabolism Abnormalities among Patients with Autosomal Dominant Polycystic Kidney Disease
title_full Glucose and Lipid Metabolism Abnormalities among Patients with Autosomal Dominant Polycystic Kidney Disease
title_fullStr Glucose and Lipid Metabolism Abnormalities among Patients with Autosomal Dominant Polycystic Kidney Disease
title_full_unstemmed Glucose and Lipid Metabolism Abnormalities among Patients with Autosomal Dominant Polycystic Kidney Disease
title_short Glucose and Lipid Metabolism Abnormalities among Patients with Autosomal Dominant Polycystic Kidney Disease
title_sort glucose and lipid metabolism abnormalities among patients with autosomal dominant polycystic kidney disease
topic autosomal dominant polycystic kidney disease
diabetes mellitus
kidney transplant
url https://www.karger.com/Article/FullText/503423
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