Objective To investigate the diagnostic value of blood glucose,glomerular filtration rate combined with urinary microalbumin in type 2 diabetic nephropathy.Methods A total of 50 patients with type 2 diabetic nephropa-thy admitted to Zibo Maternal and Child Health Hospital from January to December 2023 were selected as the observa-tion group,and 50 healthy physical examination people during the same period were selected as the control group.Fasting plasma glucose,2-hour postprandial plasma glucose,glycosylated hemoglobin A1c,glomerular filtration rate and urinary microalbumin were detected in the two groups,the levels of each index were compared between the two groups,and the diagnostic efficacy of single and combined detection of indexes were analyzed.Results The levels of fasting plasma glucose,2-hour postprandial plasma glucose,glycated hemoglobin A1c and urinary microalbumin in the observation group were higher than those in the control group,and the glomerular filtration rate was lower than that in the control group,and the differences were statistically significant(all P<0.05).The area under the curve of combined detection of fasting plasma glucose,2-hour postprandial plasma glucose,glycated hemoglobin A1c,glomeru-lar filtration rate and urinary microalbumin was higher than that of fasting plasma glucose+glomerular filtration rate,glycated hemoglobin A1c+glomerular filtration rate,2-hour postprandial plasma glucose+urinary microalbumin,gly-cated hemoglobin A1c+urinary microalbumin.Conclusion The levels of fasting plasma glucose,2-hour postprandial plasm a glucose,glycated hemoglobin A1c and urinary microalbumin in patients with type 2 diabetic nephropathy were significantly increased,the glomerular filtration rate was decreased,and the diagnostic efficiency of combined de-tection was higher.
Type 2 diabetic nephropathyBlood glucose levelsGlomerular filtration rateUrinary microglobulinCombined detection
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