Theoretically, glycosuria is more frequent in chronic kidney disease (CKD). However, the consequence of glycosuria is little known. In contrast, impaired renal tubular reabsorption could prevent renal tubules from the protein injury of glomerular filtrates. We would thus click here study glycosuria and its association with renal outcome in non-diabetic

CKD patients with proteinuria. Methods: We recruited 988 non-diabetic CKD stage 3 to 5 patients with proteinuria between 2002 and 2009. Glycosuria was defined as more than one measurements of urine glucose +∼++++ by dipstick during the follow-up period and at least once in the first three tests. Results: The mean age was 60.9 years, estimated glomerular filtration rate (eGFR) was 19.1 mL/min per 1.73 m2 and urine protein-to-creatinine ratio was 1962 mg/g. Percentage

of glycosuria was 2.4%, 12.8% and 46.9% in non-diabetic CKD stage 3, 4 and 5, respectively. It was also higher in those Navitoclax datasheet with heavy proteinuria. In multivariate logistic regression, glycosuria was associated with eGFR, proteinuria, hemoglobin, albumin, and phosphorus. In survival analysis, glycosuria was associated with a decreased risk for end-stage renal disease (ESRD) (hazard ratio = 0.79; CI = 0.63–0.98; p = 0.034) and selleck chemicals llc for rapid renal function progression (odds ratio = 0.64; CI = 0.43–0.95; p = 0.027); but glycosuria was not associated mortality or cardiovascular event. Conclusion: Glycosuria was associated better renal outcome in non-diabetic CKD stage 3–5 patients with proteinuria. This may indicate that impaired renal tubular reabsorption of filtered protein is associated with less renal function progression. IIMORI SOICHIRO, NISHIDA HIDENORI, OKADO TOMOKAZU, RAI TATEMITSU, UCHIDA SHINICHI, SASAKI SEI Department

of Nephrology, Tokyo Medical and Dental University Introduction: Treatment with erythropoietin stimulating agents (ESA) is an effective but costly therapy for CKD patients with renal anemia. On the other hand, correction of iron deficiency (ID) with iron supplementation can reduce the severity of renal anemia efficiently and inexpensively. We investigated the changes in anemia and iron status, management measures for renal anemia, and their association with cardiovascular (CV) risk in newly visited CKD patients for a one year follow-up period. Methods: We prospectively evaluated the risk of CV events in 951 newly non-dialysis CKD G2-G5 patients followed in 16 nephrology centers.