Detecting chronic kidney disease in diabetic adults by estimating glomerular filtration rate and Serum Creatinine

Objective: To assess CKD prevalence and risk factors including socio-demography among diabetics by estimating GFR rather than serum creatinine (sCr).
 Methods: A cross-sectional study was conducted in Dec. 15 2019 through Aug. 2020, 800 attending tertiary diabetes centers, Baghdad. Data collected self-administered questionnaire. SPSS used for data analysis (mean, standard deviation T-test) quantitative variables (frequency, percentage, Chi-square test Kappa index) qualitative variables. P-Value less 0.05 considered significant. 
 Results: last 5-40 years, 95.6% with type2. Aged 52.1±13.2 male: female ratio 1.03:1, 63.6% were no income, sCr level 0.86±0.3 mg/dl, eGFR Cockcroft Gault (CG) CKD-EPI equations 100.4±36.5 & 92.2±25.5 ml/min/1.73m2 respectively. based on sCr, assessed above 13.3%, 20% 15.9% respectively (p<0.001). Those hypertensive, females, living peripheries.
 Conclusions: Diabetic patients, mainly those are more likely to develop CKD. It is better detect intially the GFR, alone. Furthermore, using equation might be CG formula estimate GFR.