SONOGRAPHIC ASSESSMENT OF RENAL SIZES, PARENCHYMAL THICKNESS AND VOLUMES IN PATIENTS WITH TYPE-2 DIABETES MELLITUS

Joseph Dlama Zira

Abstract


Background: Ultrasonography can give real time assessment of the kidneys; yet its utility in the evaluation of renal changes during diabetes mellitus illness is rarely reported in Nigeria despite the high burden of diabetes related kidney damage.                                                                                          Methodology: In this case control study, renal sizes, parenchymal thickness and volume of kidneys of 101 healthy adults and 119 cases with type 2 diabetes mellitus measured by ultrasound during their routine clinic days were compared. All the diabetes cases have normal renal function as measured by their urea and creatinine level.

 Results: Mean age of adults with type 2 diabetes mellitus (53.81 ± 10.80 years) and control (41.15 ± 13.91years) groups were significantly different (p < 0.05). Statistical analysis (independent sample T-test) showed significant increase in mean renal width, parenchymal thickness and volume of type 2 diabetes mellitus patients with normal renal function compared to control group (p< 0.05) on the right and left kidney. There was no significant difference in mean renal length and antero-posterior diameter between the two diabetic groups.                                                                                                             Conclusion: There was a marginal increase in renal width, parenchymal thickness and volume in type 2 diabetes mellitus patients with normal renal function. Ultrasonography therefore provides useful information in detecting renal changes in individuals with type 2 diabetes mellitus.


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References


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