Research Article

Relationship between Thyroid Function and Kidney Function in Patients with Type 2 Diabetes

Table 1

Clinical characteristics of the study participants in different thyroid function groups.

Total ()Subclinical hyperthyroidism ()Euthyroid ()Subclinical hypothyroidism ()

Age (years)62 ± 11#64 ± 1162 ± 1166 ± 10
Gender (male, %)2909 (49.0)#133 (53.6)2670 (50.1)106 (29.3)
BMI (kg/m2)24.9 ± 3.5#24.1 ± 3.024.9 ± 3.525.4 ± 3.9
eGFR (ml/min/1.73 m2)89.9 ± 22.6#88.5 ± 24.690.5 ± 22.482.7 ± 22.4
UAE (mg/24 h)90 ± 23190 ± 19888 ± 229114 ± 278
HbA1c9.2 ± 2.6#9.6 ± 2.19.2 ± 2.68.6 ± 1.9
Hypertension3547 (59.8)144 (58.1)3167 (59.5)236 (65.2)
Duration of diabetes8.2 ± 0.1#8.7 ± 0.58.1 ± 0.19.0 ± 0.4
Duration of hypertension11.1 ± 8.811.8 ± 10.111.0 ± 8.711.2 ± 8.9
ACEI/ARB (%)1614 (45.5)53 (36.8)1445 (45.6)116 (49.2)
Metformin (%)1127 (19.0)#38 (15.3)1001 (18.8)88 (24.3)
Insulin (%)1956 (33.0)86 (34.7)1759 (33.0)111 (30.7)
Sulphonylureas (%)1926 (32.4)88 (35.5)1736 (32.6)102 (28.2)
CKD (%)629 (10.6)#33 (13.3)538 (10.1)58 (16.0)
Stage
 I3418 (57.7)135 (54.4)3130 (58.8)153 (42.3)
 II1889 (31.8)80 (32.3)1658 (31.1)151 (41.7)
 III539 (9.1)26 (10.5)466 (8.8)47 (13.0)
 IV71 (1.2)5 (2.0)57 (1.1)9 (2.5)
 V19 (0.3)2 (0.8)15 (0.3)2 (0.6)
Abnormal UAE (%)2087 (35.2)98 (39.5)1847 (34.7)142 (39.2)
Microalbuminuria (%)1610 (27.1)79 (31.9)1420 (26.7)111 (30.7)
Macroalbuminuria (%)477 (8.0)19 (7.7)427 (8.0)31 (8.6)

, compared with euthyroid group; , compared among subclinical hyperthyroidism, euthyroid, and subclinical hypothyroidism. BMI: body mass index; eGFR: estimated glomerular filtration rate; UAE: 24-hour urine albumin excretion; HbA1c: glycated hemoglobin; ACEI: angiotensin-converting enzyme inhibitors; ARB: angiotensin II receptor blockers; CKD: chronic kidney disease, eGFR < 60 ml/min/1.73 m2; stage I, eGFR ≥ 90 ml/min/1.73 m2; stage II, 90 > eGFR ≥ 60 ml/min/1.73 m2; stage III, 60 > eGFR ≥ 30 ml/min/1.73 m2; stage IV, 30 > eGFR ≥ 15 ml/min/1.73 m2; stage V, eGFR < 15 ml/min/1.73 m2; abnormal UAE, UAE > 30 mg/24 h; microalbuminuria, UAE 30–299 mg/24 h; macroalbuminuria, UAE ≥ 300 mg/24 h.