Evidence map›Paper›PMID 40758098›Full record

ArticleAnnals of African medicine2026

Study of Cystatin C and Renal Resistive Index in Type 2 Diabetes Mellitus Patients to Detect Early Diabetic Kidney Disease.

Madhulika L Mahashabde, Rishikesh Sunilsingh Chauhan, Sai Krishna Reddy Paidi, P Jugal Sriram

Abstract read
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Article in Annals of African medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Madhulika L MahashabdeDepartment of General Medicine, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Pune, Maharashtra, India.
Rishikesh Sunilsingh Chauhan
Sai Krishna Reddy Paidi
P Jugal Sriram

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDiabetic kidney disease (DKD) is a major cause of chronic kidney disease and end-stage renal failure among individuals with type 2 diabetes mellitus (T2DM). Traditional markers such as serum creatinine and albuminuria have limited sensitivity in early disease stages. Cystatin C and renal resistive index (RRI) are emerging as sensitive early indicators.

objectivesThe study aimed to assess the diagnostic utility of serum cystatin C and RRI in the early detection of renal dysfunction in T2DM patients and to evaluate their correlation with estimated glomerular filtration rate (eGFR) and urinary albumin-to-creatinine ratio (UACR). MATERIALS AND

methodsA cross-sectional study involving 100 patients with T2DM was conducted. Serum cystatin C, serum creatinine, urine albumin, and eGFR (using Chronic Kidney Disease Epidemiology Collaboration creatinine-cystatin equation) were measured. Doppler ultrasonography was used to determine RRI. Pearson's correlation and multiple regression analyses were performed.

resultsElevated cystatin C levels were seen in 91% of subjects, whereas only 63% had abnormal serum creatinine. RRI was raised in 62% of patients. eGFR correlated negatively with UACR ( r = -0.998), serum creatinine ( r = -0.881), RRI ( r = -0.712), and cystatin C ( r = -0.552). UACR and RRI were significant predictors of eGFR in multivariate analysis ( P < 0.001 and P = 0.030, respectively).

conclusionCystatin C and RRI provide early insights into renal dysfunction in T2DM and should be integrated with existing diagnostic parameters for improved DKD screening.

Indexed as

Cystatin CDiabetes Mellitus, Type 2Diabetic NephropathiesKidneyAdultAgedAlbuminuriaBiomarkersCreatinineCross-Sectional StudiesEarly DiagnosisFemaleGlomerular Filtration RateHumansMaleMiddle AgedBiomarkersCreatinineCystatin CCystatin CCystatine Cdiabète de type 2diabetic kidney diseaseestimated glomerular filtration rateindice de résistance rénalenéphropathie diabétiquerapport albumine/créatinine urinairerenal resistive indextaux de filtration glomérulaire estimétype 2 diabetes mellitusurinary albumin-to-creatinine ratio

Identifiers

PMID40758098
PMCPMC13056279

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LicenceCC BY-NC-SA
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.