Research Article

NGAL as an Early Predictive Marker of Diabetic Nephropathy in Children and Young Adults with Type 1 Diabetes Mellitus

Table 1

Background data, clinical examination, and biochemical measurement results for 57 children with type 1 diabetes, 59 adult patients with type 1 diabetes, and healthy control participants.

VariableType 1 diabetes children group (group A)Healthy control children group (group C) valueType 1 diabetes adult group (group B)Healthy control adult group (group D) value

GenderMale 32; female 25Male 28; female 21Male 34; female 25Male 8; female 10
Age (years)13.9 ± 1.9 (3.5–18)10.5 ± 3.3 (3–18)28.0 ± 2.2 (20–35)27.7 ± 2.6 (21–36)
Age at onset (years)8.5 ± 3.4 (2–15)NANA8.6 ± 4.1 (1–16)NANA
Diabetes duration (years)5.4 ± 1.8 (1–14.5)NANA7.4 ± 0.9 (4.8-9.4)NANA
Mean HbA1c (95% CI
for the mean)
7.88%–8.85% (5.8%–14%)
or 62.6–73.2 mmol/mol
(39.9–129.5 mmol/ mol)
4.4%–4.9% or 25–30 mmol/mol7.06%–7.88% (4.6%–11.7%)
or 53.7–62.6 mmol/mol
(26.8–104.4 mmol/ mol)
4.1%–5.2% or 23–33 mmol/mol
BMI (95% CI for the mean)NANA25.0–27.3 (20.1–40.4)25.9–30.6 (21.0–30.4)
BMI z-score (95% CI for
the mean)
0.2 to 0.8 (−1.0–1.5)−0.1 to 0.7 (−1.43–1.11)−0.2 to 0.2 (−1.4–3.3)−0.1 to 1.2 (−1.3–2.3)NA
Systolic arterial pressure
(mmHg) (95% CI for the
mean)
109.81 to 117.18 (76–133)98.24 to 118.75 (90–119)121.44 to 126.33 (108–140)105.35 to 116.31 (100–140)
Systolic arterial pressure
z-score (95% CI for the
mean)
0.02 to 0.58 (−0.9–2.8)0.01 to 0.39 (−0.4–2.5)NANANA
Diastolic arterial pressure
(mmHg) (95% CI for the
mean)
65.3 to 70.5 (50–85)56.9 to 67.0 (51–75)75.8 to 80.0 (60–98)66.7 to 76.0 (55–90)
Microalbuminuria8 out of 57None7 out of 59None
Diastolic arterial pressure
z-score (95% CI for the mean)
0.14 to 0.5 (−1.1–1.9)−0.9–0.2 (−1.6–1.5)NANANA
NGAL (ng/ml) (95% CI for
the mean)
60.2 to 75.0 (22.7–190.3)20.1 to 29.2 (5.1 to 81.4)77.0 to 93.4 (39.6–186.5)67.4 to 84.9 (47.7–109.7)
Cystatin C (mg/l) (95% CI
for the mean)
0.23 to 0.92 (0.62 to 0.68)0.37 to 0.84 (0.63 to 0.78)0.52 to 1.06 (0.66 to 0.81)0.38–1.30 (0.68 to 0.75)
eGFR (ml/min/1.73 m2)
(95% CI for the mean)
98.6 to 105.9 (84.4–151.3)89.0 to 107.4 (76.4–141.1)56.6 to 243.3 (113.4–129.5)72.8 to 170.9 (103.7 to 131.3)

NA: not applicable.