Diabetic Kidney Disease: Evidence from Two Selected Cohorts of Patients from Low-Middle and High Income Countries Article Swipe

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Maria Mattiotti , Matteo Righini , Daniele Vetrano , Danilo Ribichini , Valentina Vicennati , Valeria Aiello , Ermanno Notaro , Paolo Belardi , Noemi Bazzanini , Katunzi Mutalemwa , Emmanuel Ndile , Rehema Itambu , Uberto Pagotto , Gaetano Azzimonti , Giuseppe Cianciolo , Irene Capelli , Gaetano La Manna ·

YOU? · · 2025 · Open Access · · DOI: https://doi.org/10.20944/preprints202507.2621.v1

Objectives: Diabetic kidney disease (DKD) is the leading cause of kidney failure worldwide. Different phenotypes of DKD are emerging, partially attributable to a better glycemic control, partially to concomitant risk factors for kidney disease. Diabetes belongs to Non-Communicable Diseases (NCD), but poor data about DKD in Low-Middle Income Countries are currently available. In the present paper we compare two cohorts of patients affected by DKD from Tanzania and from Italy. Study design: Retrospective observational study conducted by NCDs Clinic of Tosamaganga Regional Referral Hospital (Tanzania) and from the Multidisciplinary Diabetological-Nephrological Clinic of Bologna (Italy) Methods: Included patients’data were analyzed for demographical features, diabetes complications, laboratory findings and pharmacological therapy at the time of enrollment and after 6-month follow up. Results: Tanzanian patients were younger (56.65 vs 67.66 years, p< 0.001), with a higher prevalence of women (66.9% vs 25.5%, p< 0.001) and showed lower level of BMI (26.39 vs 30.18 kg/m2, p< 0.001). A worsen glycemic control could be observed in Tanzanian cohort (HbA1c 83.71 vs 56.92 mmol/mol, p< 0.001) and higher eGFR (70.13±31.93 vs 52.31±23.37 ml/min, p< 0.001). A sharp reduction of albuminuria was observed in both cohorts with an increase in nephroprotective drugs a better glycemic control. Conclusions: Two phenotypes of diabetic patients have emerged from comparison between two cohorts. Tanzanian patients are mostly female, younger and with normal BMI; whereas Italian patients are mainly male, older and affected by metabolic syndrome and vascular complications. Therapy implementation is associated with a delayed decline of eGFR and downgrading of albuminuria at 6 months follow up.

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Low and middle income countries Medicine Disease Diabetes mellitus Kidney disease Internal medicine Environmental health Economics Developing country Endocrinology Economic growth

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Type: preprint
Language: en
Landing Page: https://doi.org/10.20944/preprints202507.2621.v1
PDF: https://www.preprints.org/frontend/manuscript/b3ea62ebb98882b77fbf364f822ed242/download_pub
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OpenAlex ID: https://openalex.org/W4412813931

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DOI: https://doi.org/10.20944/preprints202507.2621.v1

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Title: Diabetic Kidney Disease: Evidence from Two Selected Cohorts of Patients from Low-Middle and High Income Countries

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Type: preprint

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Language: en

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Publication year: 2025

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Publication date: 2025-07-31

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Authors: Maria Mattiotti, Matteo Righini, Daniele Vetrano, Danilo Ribichini, Valentina Vicennati, Valeria Aiello, Ermanno Notaro, Paolo Belardi, Noemi Bazzanini, Katunzi Mutalemwa, Emmanuel Ndile, Rehema Itambu, Uberto Pagotto, Gaetano Azzimonti, Giuseppe Cianciolo, Irene Capelli, Gaetano La Manna

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Landing page: https://doi.org/10.20944/preprints202507.2621.v1

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PDF URL: https://www.preprints.org/frontend/manuscript/b3ea62ebb98882b77fbf364f822ed242/download_pub

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Concepts: Low and middle income countries, Medicine, Disease, Diabetes mellitus, Kidney disease, Internal medicine, Environmental health, Economics, Developing country, Endocrinology, Economic growth

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abstract_inverted_index.Diabetic	1
abstract_inverted_index.Diseases	38
abstract_inverted_index.Hospital	83
abstract_inverted_index.Included	95
abstract_inverted_index.Methods:	94
abstract_inverted_index.Referral	82
abstract_inverted_index.Regional	81
abstract_inverted_index.Results:	119
abstract_inverted_index.Tanzania	66
abstract_inverted_index.affected	62, 230
abstract_inverted_index.analyzed	98
abstract_inverted_index.cohorts.	211
abstract_inverted_index.control,	25
abstract_inverted_index.control.	198
abstract_inverted_index.diabetes	102
abstract_inverted_index.diabetic	203
abstract_inverted_index.disease.	33
abstract_inverted_index.findings	105
abstract_inverted_index.glycemic	24, 155, 197
abstract_inverted_index.increase	191
abstract_inverted_index.observed	159, 185
abstract_inverted_index.patients	61, 121, 204, 213, 224
abstract_inverted_index.syndrome	233
abstract_inverted_index.vascular	235
abstract_inverted_index.Countries	48
abstract_inverted_index.Different	13
abstract_inverted_index.Tanzanian	120, 161, 212
abstract_inverted_index.conducted	75
abstract_inverted_index.currently	50
abstract_inverted_index.emerging,	18
abstract_inverted_index.features,	101
abstract_inverted_index.metabolic	232
abstract_inverted_index.mmol/mol,	167
abstract_inverted_index.p&lt;	128, 139, 151, 168, 177
abstract_inverted_index.partially	19, 26
abstract_inverted_index.reduction	181
abstract_inverted_index.(Tanzania)	84
abstract_inverted_index.Low-Middle	46
abstract_inverted_index.associated	240
abstract_inverted_index.available.	51
abstract_inverted_index.comparison	208
abstract_inverted_index.enrollment	113
abstract_inverted_index.laboratory	104
abstract_inverted_index.phenotypes	14, 201
abstract_inverted_index.prevalence	133
abstract_inverted_index.worldwide.	12
abstract_inverted_index.Objectives:	0
abstract_inverted_index.Tosamaganga	80
abstract_inverted_index.albuminuria	183, 250
abstract_inverted_index.concomitant	28
abstract_inverted_index.downgrading	248
abstract_inverted_index.52.31±23.37	175
abstract_inverted_index.Conclusions:	199
abstract_inverted_index.attributable	20
abstract_inverted_index.(70.13±31.93	173
abstract_inverted_index.Retrospective	72
abstract_inverted_index.demographical	100
abstract_inverted_index.observational	73
abstract_inverted_index.complications,	103
abstract_inverted_index.complications.	236
abstract_inverted_index.implementation	238
abstract_inverted_index.patients’data	96
abstract_inverted_index.pharmacological	107
abstract_inverted_index.Non-Communicable	37
abstract_inverted_index.nephroprotective	193
abstract_inverted_index.Multidisciplinary	88
abstract_inverted_index.Diabetological-Nephrological	89
cited_by_percentile_year
countries_distinct_count	0
institutions_distinct_count	17
citation_normalized_percentile.value	0.37338858
citation_normalized_percentile.is_in_top_1_percent	False
citation_normalized_percentile.is_in_top_10_percent	False