Abstract:
INTRODUCTION AND OBJECTIVES:To examine the association of glycemic control, including strict glycemic control, with 24-hour urine risk factors for uric acid and calcium calculi. MATERIALS AND METHODS:With institutional review board (IRB) approval, we identified 183 stone formers (SFs) with 459 twenty-four-hour urine collections. Hemoglobin A1c (HgbA1c) measures were obtained within 3 months of the urine collection. Collections were categorized into normoglycemic (NG, HgbA1c < 6.5) and hyperglycemic (HG, HgbA1c ≥ 6.5) cohorts; 24-hour urine parameters were compared. The NG cohort was further divided into patients with and without a history of diabetes mellitus (DM) type 2. Variables were analyzed using chi-square, Welch's t-test and multivariate linear regression to adjust for clustering, body mass index (BMI), age, gender, thiazide use, and potassium citrate use. RESULTS:Patients in the HG group were older with higher BMI. Multivariate analysis of the total study population revealed that hyperglycemia correlated with lower pH, higher uric acid relative saturation (RS), lower brushite RS, and higher citrate. NG SFs with and without a history of DM had similar risk factors for uric acid stone formation. Among NG SFs, those with DM had higher urine calcium and calcium oxalate RS than those without DM. However, this difference may be related to other factors since neither parameter correlated with DM on multivariate regression (p > 0.05). CONCLUSIONS:Successful glycemic control may be associated with reduced urinary risk factors for uric acid stone formation. Patients with well-controlled DM had equivalent risk factors to those without DM. Glycemic control should be considered a target of the multidisciplinary medical management of stone disease.
journal_name
J Endouroljournal_title
Journal of endourologyauthors
Maciolek KA,Penniston KL,Jhagroo RA,Best SLdoi
10.1089/end.2018.0376subject
Has Abstractpub_date
2018-08-01 00:00:00pages
771-776issue
8eissn
0892-7790issn
1557-900Xjournal_volume
32pub_type
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journal_title:Journal of endourology
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doi:10.1089/end.1995.9.85
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pub_type: 临床试验,杂志文章
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journal_title:Journal of endourology
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更新日期:2015-04-01 00:00:00
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journal_title:Journal of endourology
pub_type: 杂志文章,评审
doi:10.1089/end.1993.7.389
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journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1994.8.285
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journal_title:Journal of endourology
pub_type: 杂志文章
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更新日期:2010-01-01 00:00:00
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pub_type: 杂志文章
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journal_title:Journal of endourology
pub_type: 杂志文章
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journal_title:Journal of endourology
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journal_title:Journal of endourology
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更新日期:2004-02-01 00:00:00