title: A Study of Inflammatory Status in Nephropathy Patients with History of Type-II Diabetes Mellitus Undergoing Haemodialysis.
abstract: OBJECTIVE
  Diabetic nephropathy is one of the leading cause of chronic kidney failure. Local vascular inflammation is increased in diabetes mellitus (DM), which results in higher burden of microvascular and macrovascular complications. The present study was carried out to assess the importance of inflammatory status in nephropathy patients with Type-II DM.
  
  
  METHODS
  Eighty diagnosed cases of type II DM who had end stage renal disease (Nephropathy Stage-5) were selected for the study, they were further divided equally into 2 sub-categories; Group I (patients who were undergoing haemodialysis) and Group II (patients who were not undergoing haemodialysis). The control group comprised of 40 individuals who were age and sex matched healthy individuals. Inflammatory status was assessed by estimating serum C-reactive protein (CRP) and serum albumin.
  
  
  RESULTS
  A significant increase in serum CRP and a significant decrease in serum albumin were seen in test group- I and test group-2 as compared to controls. There was a positive correlation between serum albumin and GFR with r=0.904 in the Test Group-I and r=0.946 in Test Group-II. A negative correlation was observed between serum CRP and GFR r= -0.597 in Test Group-I and with r= -0.6231 in Test Group-II. Also, the correlation between CRP and albumin showed a negative trend with r= -0.848 in Test Group-I and with r= -0.78 in Test Group-II.
  
  
  CONCLUSIONS
  Microinflammation is a common finding in haemodialysis patients who have a history of nephropathy with Type-II diabetes mellitus. With a proper knowledge on factors which lead to this microinflammation, we can employ preventive strategies for a better management of Type-II diabetic nephropathy patients and thereby, for improving their survival.
authors.affiliation: Demonstrator cum RMO, Department of Biochemistry, North Bengal Medical College & Hospital , Siliguri, India .
authors.forename: Indrajit
authors.initials: I
authors.lastname: Nath
authors.forename: Chandan Kumar
authors.initials: CK
authors.lastname: Nath
authors.forename: Mriganka
authors.initials: M
authors.lastname: Baruah
authors.forename: Moushumi
authors.initials: M
authors.lastname: Pathak
authors.forename: R
authors.initials: R
authors.lastname: Banerjee
authors.forename: Sapna
authors.initials: S
authors.lastname: Goyal
keywords: C-reactive protein (CRP); Microinflammation; Serum albumin; Type II DM