ดชนไกลเคชนของฮโมโกลบน(Hemoglobin Glycation Index) : ความชกและปจจยเสยงในการทำนายการเกดโรคไตเบาหวานในผปวยเบาหวานชนดท 2 โรงพยาบาลระยอง

This study aimed to determine the prevalence of diabetic kidney disease (DKD) and evaluate the association between Hemoglobin Glycation Index (HGI) and incident DKD among newly diagnosed patients with type 2 diabetes mellitus. This retrospective cohort study used electronic medical records of newly diagnosed type 2 diabetes mellitus patients between 2018–2019 with 5 years of follow-up. HGI was calculated from the relationship between HbA1c and fasting plasma glucose (FPG) at baseline and categorized into tertiles. Logistic regression was used to analyze the association. Results: A total of 115 patients were included. Thirty-five patients developed DKD, yielding a 5-year cumulative prevalence of 30.43%. Compared with those without DKD, patients who developed DKD had a significantly higher baseline FPG (173.37±67.41 vs. 136.23±36.34 mg/dL, p<0.01), higher HbA1c (8.21±1.66 vs. 7.47±1.48%, p<0.01), and higher triglyceride levels (178.85±105.69 vs. 134.2±59.31 mg/dL, p<0.01). When categorized by HGI tertiles, no significant association was observed between HGI levels and incident DKD either before or after adjustment for confounders