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Laboratory  Project  1  

Diabetes  and  Hypertension  in  Patients  with  CKF  

 

Abstract  

From  previously  working  with  dialysis  patients,  I  wanted  to  know  how  many  people  with  Chronic   Kidney  Failure  (CKF)  had  diabetes  and/or  hypertension  (high  blood  pressure).    With  my  hypothesis  I   intended  to  prove  that  patients  with  CKF  were  more  likely  to  have  either  disease.    I  started  my  project   by  contacting  two  dialysis  clinics  that  I  previously  worked  for  to  gather  information  and  establish  a   control  group.    I  wanted  to  know  how  many  patients  assigned  to  the  clinics  had  diabetes  alone,  how   many  had  hypertension  alone,  and  how  many  had  both.    After  receiving  the  numbers,  I  was  able  to   conclude  that  Clinic  1  had  a  total  of  62.5%  of  patients  with  diabetes,  and  55%  of  patients  with   hypertension  (this  is  combining  the  number  of  patients  with  diseases  alone  and  diseases  combined),  and   Clinic  2  had  66%  of  patients  with  diabetes  and  57%  with  hypertension.  The  results  were  relatively  close   to  each  other  and  correlated  well  with  the  results  I  gathered  from  the  National  Kidney  Foundation’s   website,  which  stated  that  diabetes  and  hypertension  are  responsible  for  up  to  two-­‐thirds  (66%)  of   cases  of  Chronic  Kidney  Failure  (CKF).  I  feel  that  my  findings  were  somewhat  accurate  and  could  be   better  with  more  research  and  statistics  from  other  clinics.  

 

I.  Statement  of  problem:    It  seems  that  most  people  on  dialysis  require  blood  glucose  monitoring  and   all  require  monitoring  of  blood  pressure.  How  many  people  suffering  from  CKF  have  diabetes  and/or   hypertension?  

 

II.  Statement  of  working  hypothesis:  If  people  are  diagnosed  with  CKF  then  they  are  most  likely  to   be  diabetic  or  hypertensive.  

 

III.  Experimental  designs  and  methods:    I  contacted  a  two  dialysis  clinics  in  two  separate  states  from   which  I  was  previously  employed  to  obtain  information  from  a  controlled  group.    This  allowed  me  to   collect  data  only  from  patients  diagnosed  with  CKF.    The  nurses  from  each  location  pulled  the  patients   charts  and  tallied  patients  with  diabetes  alone,  hypertension  alone  and  those  with  both  and  reported   the  results  to  me.    I  was  able  to  conclude  that  the  remaining  patients  had  neither  disease.  

Once  the  data  was  collected  from  the  clinics,  I  compared  my  findings  to  the  statistics  found  from  the   National  Kidney  Foundation  website.  

 

   

 

IV.  Results:    

From  clinic  1,  7/40  (17.5%)  of  patients  were  diabetic  alone,  4/40  (10%)  were  hypertensive  alone,  18/40   (45%)  had  both  diabetes  and  hypertension,  and  11/40  (27.5%)  were  not  affected  by  either  disease.    

 

 

In  clinic  2,  out  of  56  total  patients,  16/56  (28.6%)  had  diabetes  alone,  11/56  (19.6%)  had  hypertension   alone,  21/56  (37.5%)  were  both  hypertensive  and  diabetic,  and  8/56  (14.3%)  were  unaffected  by  either   disease.  

 

17%  

10%  

45%  

28%  

 Clinic  1  CKF  PaNents  

Diabetes  Alone  

Hypertension  Alone  

Diabetes  and  Hypertension  

Unaffected  

29%  

20%   37%  

14%  

Clinic  2  CKF  PaNents  

Diabetes  Alone  

Hypertension  Alone  

Diabetes  and  Hypertension  

Unaffected  

According  to  the  National  Kidney  Foundation,  diabetes  and  hypertension  are  responsible  for  up   to  two-­‐thirds  (66%)  of  cases  in  CKF,  which  correlates  to  my  study  from  the  two  clinics.  Clinic  1  had  62.5%   (combined)  diabetic  patients  and  55%  (combined)  hypertensive  patients,  and  Clinic  2  had  66%   (combined)  diabetic  patients  and  57%  (combined)  hypertensive  patients.      

 

V.  Conclusion/future  directions:  It  appears  that  my  findings  from  the  two  clinics  fall  within  the  two-­‐ thirds  category  and  presents  my  hypothesis  to  be  plausible.    I  feel  that  with  more  extensive  research  and   statistics  from  other  clinics,  I  could  gain  a  much  more  accurate  result.  

 

VI.  References:    

"About  Chronic  Kidney  Disease."  The  National  Kidney  Foundation:  Kidney  Disease.  National  Kidney   Foundation,  Inc.,  2013.  Web.  02  Feb.  2013.  

• Statistical  analysis  collected  from  Carolina  Dialysis  LLC,  Spartanburg,  SC  &  Scott  &  White  Dialysis,   Killeen,  TX