Diabetes complications

Low hemoglobin, even within the normal range, is associated with diabetic kidney disease

Diabetes MetabPublished Retrospective cohort study

Main finding · Incident DKDResult — go to the resultHazard ratio 1.58 95 % CI 1.19–2.21

Authors' conclusion

Lower Hb is associated with incident DKD, even in patients with normal Hb levels, independent of other risk factors.

Study context

Population
Patients with T2D without diabetic kidney disease (DKD) at baseline, six clinics affiliated with Lee's United Clinic, Taiwan; 93 (5.6 %) had anemia at baseline
Participants
1,657 patients
Exposure
Lowest vs highest quartile of baseline hemoglobin (Hb)
Outcome
Incident DKD
Follow-up
Average 5.7 ± 2.6 years
Methodological detailsmulticentre (six clinics)
  • Multicentre (six clinics)

Main finding

As reported in the abstract

Hazard ratio

1.58

95 % CI 1.19–2.21

P < 0.001

Q1vs Q4
HR 1.58 (95 % CI 1.19–2.21); P < 0.001
Developed DKD (whole cohort)
594 patients (35.8 %)

Observational data: associations, not effects.

Further findings

OutcomeHR (95 % CI)P value
Incident DKD, subgroup with normal Hb (men ≥ 120 g/l, women ≥ 110 g/l): Q'1 (Hb ≤ 132 g/l)vs Q'4 (Hb ≥ 154 g/l)1.29 (1.08–1.72)P = 0.042

Original publication

Low hemoglobin, even within the normal range, is associated with diabetic kidney disease. Diabetes Metab. Published 18 September 2024. doi:10.1016/j.diabet.2024.101580

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