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392117

Screening of nephropathic changes in pregnant diabetic women and their management with calcium channel blockers

Article

Last updated: 24 Dec 2024

Subjects

-

Tags

Gynecology and obstetrics

Abstract

Background: Endothelial brokenness and dysregulation of vascular homeostasis are related with diabetic nephropathy (DN). Microalbuminuria (MAU) is a notable indicator of DN in Diabetes Mellitus (DM). Non-dihydropyridine Calcium channel blockers (CCBs) are utilized to diminish proteinuria related with nephropathy in DM patients.
Objective: to detect the early nephropathic changes in diabetic pregnant women and identify the effect of non-dihydropyridine calcium channel blockers, on these changes.
Methodology: Between May 2020 and March 2022, a randomized controlled clinical trial study was conducted at Al-Zahraa University Hospital. Laboratory tests included a complete blood count, fasting blood sugar, and kidney function test (urea, creatinine, Albumin Creatinine Ratio, and urine analysis for MAU) for pregnant women with diabetes mellitus and early DN. For a month, verapamil was taken orally at 80 mg per day.
Results: In patients who have been taking non-dihydropyridine Calcium channel blockers there was a critical decrease in microalbuminuria in contrast with benchmark microalbuminuria, however in the control, no huge change was seen in follow-up microalbuminuria.
Conclusions: after non-dihydropyridine Calcium channel blockers utilization, there was a critical decrease in the degree of albuminuria in contrast with the pre-treatment evaluation.

DOI

10.21608/jram.2024.302145.1253

Keywords

diabetic nephropathy, Diabetes mellitus, Microalbuminuria, Calcium channel blockers

Authors

First Name

Asmaa

Last Name

Abd El Aal

MiddleName

AA.

Affiliation

Obstetrics and Gynecology Department, Qeft Teaching Hospital, Qena, Egypt.

Email

asmaagharably@gmail.com

City

Qena

Orcid

-

First Name

Diaa

Last Name

Fakhr

MiddleName

MM.

Affiliation

Obstetrics and Gynecology, Faculty of Medicine for Girls, Cairo, Al-Azhar University, Egypt.

Email

fakhrdiaa@gmail.com

City

Cairo

Orcid

-

First Name

Nagwa

Last Name

Mohamed

MiddleName

A.

Affiliation

Obstetrics and Gynecology, Faculty of Medicine for Girls, Cairo, Al-Azhar University, Egypt.

Email

najwabarakat@gmail.com

City

Cairo

Orcid

-

Volume

5

Article Issue

2

Related Issue

51601

Issue Date

2024-07-01

Receive Date

2024-08-28

Publish Date

2024-07-01

Page Start

128

Page End

134

Print ISSN

2636-252X

Online ISSN

2636-2538

Link

https://jram.journals.ekb.eg/article_392117.html

Detail API

https://jram.journals.ekb.eg/service?article_code=392117

Order

392,117

Type

Original Article

Type Code

676

Publication Type

Journal

Publication Title

Journal of Recent Advances in Medicine

Publication Link

https://jram.journals.ekb.eg/

MainTitle

Screening of nephropathic changes in pregnant diabetic women and their management with calcium channel blockers

Details

Type

Article

Created At

24 Dec 2024