Bariatric Surgeries, Diabetic Nephropathy
Conditions
Brief summary
Establish a cohort of diabetic kidney disease(DKD) patients with intensive weight loss treatment to evaluate the impact of intensive weight loss treatment on the renal prognosis of DKD and construct a prediction model for the improvement of renal outcomes after weight loss.
Interventions
Laparoscopic sleeve gastrectomy or laparoscopic gastric bypass based on β-cell function
Diet management,exercise,metformin,GLP-1 receptor agonists and other drugs which can lose weight.
Sponsors
Study design
Eligibility
Inclusion criteria
* Age 18 to 65 years old; * BMI\>25Kg/m2 or abdominal obesity (i.e. waist circumference\>90cm for men and\>85cm for women); * eGFR\<30ml/min/1.73m2 or urinary microalbumin≥300mg/g, eGFR\<60ml/min/1.73m2.
Exclusion criteria
* Patients who are taking glucocorticoids; * Combined with tumors; ③Combined with autoimmune diseases; ④Serum albumin\<25g/L.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Total weight loss | 1st, 3rd, 6th and 12th month after intervention, respectively. |
Secondary
| Measure | Time frame |
|---|---|
| Glomerular filtration rate | 1st, 3rd, 6th and 12th month after intervention, respectively. |
| Fasting blood glucose | 1st, 3rd, 6th and 12th month after intervention, respectively. |
| Average blood glucose from continuous glucose monitoring | 1st, 3rd, 6th and 12th month after intervention, respectively. |
| Postprandial 2-hour blood glucose | 1st, 3rd, 6th and 12th month after intervention, respectively. |
| Serum creatinine | 1st, 3rd, 6th and 12th month after intervention, respectively. |
| Waist circumference and hip circumference | 1st, 3rd, 6th and 12th month after intervention, respectively. |
| Urinary microalbumin and other Urinalysis indexes | 1st, 3rd, 6th and 12th month after intervention, respectively. |
| Medication status | 1st, 3rd, 6th and 12th month after intervention, respectively. |
| HbA1c | 1st, 3rd, 6th and 12th month after intervention, respectively. |
Countries
China