Hamid Reza Samimagham, Hossein Farshidi, Marzieh Nikparvar, Mohsen Arabi, Mohammad Tamaddondar, Mehran Ghasemzadeh, Mitra Kazemijahromi,
Volume 12, Issue 3 (9-2020)
Abstract
Objective: Chronic kidney disease (CKD) and diabetes mellitus can influence coronary artery disease (CAD) independently. The aim of this study was to evaluate the association of glomerular filtration rate (GFR) and CAD in type 2 diabetic patients (T2DM).
Materials and Methods: This cross sectional study evaluated 3624 T2DM patients with clinical presentation of CAD whose documents were registered in angiography center of Shahid Mohammadi Hospital in Bandar Abbas, Iran during 18 months. GFR was measured by MDRD method and divided into 5 subgroups: GFR< 15, 15≤ GFR< 30, 30≤ GFR< 60, 60≤ GFR< 90 and GFR≥ 90. Then the association of 5 subgroups of GFR with coronary angioplasty in T2DM patients was evaluated. T-test was used to compare the mean of quantitative variables, and chi-squared test for qualitative variables. Using SPSS- 22 the collected data were analyzed and P-value< 0.05 was significant.
Results: Among 3624 T2DM patients, 36% had GFR< 60 (ml/min/1.73m2).The highest frequency percentage of coronary angioplasty (53%) was observed in the GFR stage 3 (30-60) ml/min/1.73m2. A significant inverse association was observed between the GFR of T2DM patients and the frequency of CAD. (P-value< 0.001). There was also a significant association between GFR< 60 and history of hypertension and dyslipidemia. (P-value< 0.001).
Conclusion: A reduced GFR in patients with diabetes has associations with CAD.
Yasaman Shahriari, Sogand Ghasemzadeh, Leila Kashani Vahid, Samira Vakili,
Volume 14, Issue 3 (9-2022)
Abstract
Objective: The parent-child relationship and the daily blood sugar control by adolescents can affect family functioning. This study aimed to evaluate the effectiveness of unified trans-diagnostic treatment protocols on parent-child interaction and blood sugar levels in adolescents with type 1 diabetes.
Materials and Methods: The present study was quasi-experimental with a pretest and posttest design and a control group. The statistical population of the study included all adolescents aged 12-15 years with type 1 diabetes referred to the Iranian Diabetes Society and their parents in 2020. Out of this population, 44 were selected using the convenience judgmental sampling method and randomly divided into two groups (n= 22). The Child-Parent Relationship Scale (CPRS) was used to investigate the parent-child interaction, and hemoglobin pre-and post-program tests were used to assess blood sugar. Adolescents and parents in the experimental group received the program during 17 sessions. Data were analyzed using the analysis of covariance. Statistical analyses were performed by SPSS software version 22.
Results: The means of corrected post-test scores of the Child-Parent Relationship Scale and hemoglobin A1c tests were significantly different in the experimental and control groups (P= 0.001).
Conclusion: The unified trans-diagnostic treatment protocols affect parent-child interaction and blood sugar levels in adolescents with type 1 diabetes. It is possible to use this program to educate adolescents with diabetes and their families and preventive interventions.
