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The Relationship Between HbA1c Levels And Estimated Glomerular Filtration Rate in Prolanis Patients With Type 2 Diabetes Mellitus at Klinik Griya Sehat Aulisa Siska Nabila; Tasrif Ahmad
Jurnal Biologi Tropis Vol. 26 No. 1 (2026): Januari-Maret
Publisher : Biology Education Study Program, Faculty of Teacher Training and Education, University of Mataram, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jbt.v26i1.11811

Abstract

Type 2 diabetes mellitus is a chronic condition that is increasingly prevalent and may result in various complications, including diminished kidney function. The management of blood glucose levels over an extended period in individuals with diabetes can be evaluated through a test for glycosylated hemoglobin (HbA1c), while kidney performance is evaluated by estimating the glomerular filtration rate (GFR). This study aims to determine the relationship between HbA1c levels and estimated glomerular filtration rate in type 2 diabetes mellitus patients enrolled in the Chronic Disease Management Program (Prolanis) at the Griya Sehat Colomadu Clinic. This research is an observational analysis with a cross-sectional approach. The sample included 29 patients with type 2 diabetes mellitus who fulfilled the inclusion criteria. Data on HbA1c levels were gathered from medical files spanning the previous year, while GFR values were determined from serum creatinine levels using the CKD-EPI equation. The analysis of the connection between these two factors was conducted using the Spearman correlation test and the Odds Ratio test. The findings indicated a notable association between HbA1c levels and GFR values, showing a moderate correlation strength (p = 0.012; r = 0.458). The Odds Ratio of 0.370 (95% CI: 0.082-1.667) suggests that individuals with elevated HbA1C levels may have a lower likelihood of experiencing a reduction in GFR; however, this relationship lacks clinical significance. The conclusion drawn is that there exists a significant link between HbA1c levels and the estimated glomerular filtration rate among type 2 diabetes mellitus patients at the Griya Sehat Colomadu Clinic, characterized by a moderate positive association.
A Clinical Evaluation of Age and Metabolic Factors Affecting the Estimated Glomerular Filtration Rate Tasrif Ahmad; Yosepin Galuh Sekar Khinanti; Debora Natasya Yusup; Aulisa Siska Nabila; Dewi Nurjanah Jaya Saputri; Lutfi Kurniawati
Jurnal Biologi Tropis Vol. 26 No. 3 (2026): Juli - September
Publisher : Biology Education Study Program, Faculty of Teacher Training and Education, University of Mataram, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jbt.v26i3.12142

Abstract

Chronic kidney disease (CKD) remains a major global health challenge, characterized by a progressive decline in the estimated glomerular filtration rate (eGFR). Advanced age, sub-optimal glycemic control, and lipid abnormalities are well-established risk factors for renal dysfunction. This study evaluated the clinical profiles of subjects and analyzed the association between various clinical indicators and eGFR. A cross-sectional design was employed involving 317 participants. Data on age, HbA1c (specifically for diabetic individuals, n = 207), lipid parameters (Total Cholesterol, Triglycerides, LDL, and HDL), and renal function markers (Urea and Creatinine) were recorded. Descriptive statistics (mean, range, and standard deviation) were calculated, and bivariate associations were evaluated using Pearson’s product-moment correlation test. The mean age of participants was 60.67±10.64 years, with a mean eGFR of 73.90±25.24 mL/min/1.73 m², reflecting a mild reduction in renal function. Bivariate analysis demonstrated significant negative correlations between eGFR and age (r = -0.443, p < 0.001), urea (r = -0.695, p < 0.001), creatinine (r = -0.605, p < 0.001), and triglycerides (r = -0.114, p = 0.042). In contrast, eGFR correlated positively with HDL (r = 0.114, p = 0.042) and HbA1c (r = 0.171, p = 0.014). No statistically significant associations were observed for total cholesterol or LDL. Deterioration of renal function in this cohort is strongly linked to aging and metabolic disturbances. The positive correlation with HbA1c suggests early-stage glomerular hyperfiltration in diabetic patients. These results highlight the critical need for early metabolic intervention and periodic renal assessment, particularly among elderly and diabetic populations.