BAYESIAN APPROACH ON THE COMPARISON DRUG THROUGH LEVEL OF MICROALBUMINURIA IN TYPE 2 DIABETES PATIENTS

Authors

  • Rakesh K Saroj, Mukesh Kumar Ajay Kumar, Dr. K Narasimha Murthy IMS-BHU, Varanasi, BBAU, Lucknow, BBAU, Lucknow, IMS-BHU, Varanasi

Keywords:

Microalbuminuria, Poisson and Negative-binomial, type 2 diabetes

Abstract

The microalbuminuria is defined as small quantities of albumin in the urine. It is highly prevalent in type 2 diabetic population and useful to measure the severity of kidney damage. The objective of this work is to apply different models and approach on the sampled microalbuminuria value in the type 2 diabetes drug effect comparison. This work is contributed to compare the drug viz. (i) Metformin and Pioglitazone and (ii)Pioglitazone with Gliclazide to reduce the albumin level among the type 2 diabetes patients. The biochemical parameter of interest microalbuminuria has been observed in this work in three follow up visits of each patients. The second and third observations of each patient have been considered in third and twelve months in sequence of baseline visit. A Poisson and Negative-binomial model have been applied for studying the presence of microalbuminuria in urine among the type 2 diabetes patients. The effect of drug treatment viz. (i) Metformin with Pioglitazone and (ii) Pioglitazone with Gliclazide, have been compared in a clinical trial of type 2 diabetes patients in the present study. It has been found that Metformin with Pioglitazone is more effective to reduce the microalbuminuria as compared to Pioglitazone with Gliclazide.

References

Berkhout P and E. Plug 2004, “A bivariate poisson count data model using conditional probabilities,” Statistica Neerlandica 58, 349-364.

De Jong PEm Curhan GC: Screening, monitoring, and treatment of albuminuria; Public health Perspectives. J Am Soc Nephrol 17: 2120-2126, 2006.

Forman JP, Brenner BM: ‘Hypertension’ and ‘microalbuminuria’: the bell tolls for thee. Kidney Int 69:22–28, 2006.

Gambaro G, Kinalska, Oksa A,Pont’uch P,Hertlova M, Olsovsky J, Manitius J, Fedele D, Czekalski S, Perusicova J, Skrha J, Taton J, Grzeszczak W, Crepaldi G(2002): Oral sulodexide reduces albuminuria in microalbuminuric and macroalbuminuric type 1 and type 2 diabetic patients: The Di.N.A.S.randomized trial.J Am soc Nephrol 13:1615-1625,2002.

Gerstein HC, Mann JF, Yi Q, Zinman B, Dinneen SF, Hoogwerf B, Halle JP, Young J, Rashkow A, Joyce C, Nawaz S, Yusuf S. Albuminuria and risk of cardiovascular events, death, and heart failure in diabetic and nondiabetic individuals. JAMA. 2001; 286:421– 426.

Hillege HI, Janseen WM,Bak AA,Diercks GF, Grobbee DE, Crijins HJm Van Gilst WHm De Zeeuw D, De Jong PE; PREVEND study Group; Microalbuminuria is common, also in a nondiabetic, nonhypertensive population, and an independent indicator of cardiovascular risk factors and cardiovascular morbidity. J Intern Med 249:5190526, 2000.

JorgeEscobedom,Jamal.S.Rana,Manuel.S.Lombardero,Stewart.G.Albert,Andrew.M.Davis,Frank.P.Kennedy,Arshag.DMooradiam,David.F.Robertson,V.S.Srinivas,Suzane.S.P.Genhart(2010). Association between Albuminuria and Duration of Diabetes and Myocardial Dysfunction and Peripheral Arterial Disease among Patients with Stable Coronary Artery Disease in the BARI 2D Study. January 2010; 85(1); 41-46.

Kocherlakota S. and K. Kocherlakota 1992, Bivariate discrete distributions, Marcel Dekker: New York.

Lee ET, Welty TK, Cowan LD, Wang W, Rhoades DA, Devereux R, Go O, Fabsitz

R, Howard BV: Incidence of diabetes in American Indians of three geographic areas: the Strong Heart Study. Diabetes Care 25:49 –54, 2002.

Nakamura T, Ushiyama C, Hirokawa K, Osada S, Shimada N, KoideH(2000): Effect of cerivastatin on urinary albumin excretion and plasma endothelin-1 concentrations in type 2 diabetes patients with microalbuminuria and dyslipdemia. Am J nephrol 21:449-454.

Parving H-H, Lewis JB, Ravid M, Remuzzi G, Hunsicker LG: Prevalence and risk factors for microalbuminuria in a referred cohort of type II diabetic patients: A global perspective , Kidney Int 69:2057-2063,2006.

Tapp RJ, Shaw JE, Zimmet PZ, Balkau B, Chadban SJ, Tonkin AM, Welbirn TA, Atkins RC : Albuminuria is evident in the early stages of diabetes onset: Results from Australian Diabetes, Obesity m and Lifestyle Study ( Aus-Diab).Am J Kidney Dis 44: 792-798,2004.

Tonolo G, Ciccarese M, Brizzi P,Puddu L, Secchi G, Calvia P, Atzeni M, Melis MG, Maiolo M: Reduction f albumin excretion rate in normotensive microalbuminuria type 2 diabetic patients during long-term simvastatin treatment. Diabetes Care 20: 1891-1895,1997.

Winkelmann, R. and K.F. Zimmermann 2000, “Editorial: Fertility studies using count data models,” Journal of Population Economics 13: 171-172.

Wong G. Y. and Mason, W. M. The hierarchical logistic regression model for multilevel analysis. Journal of the American Statistical Association 1985: 80, 513–524.

Downloads

Published

2015-01-31