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    NEPHROPATHY IN DIABETES

    MELLITUS

    PROJECT WORK

    Dissertation submitted to

    ANNAMALAI UNIVERSITY

    In partial fulfillment of the requirement for the award of

    Master of Science in Biochemistry

    By

    -----Reg.No.

    PG & ResearchDepartment of Biochemistry

    ANNAMALAI UNIVERSITYANNAMALAI NAGAR-608 002

    APRIL 2012

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    ANNAMALAI UNIVERSITY

    PG & RESEARCH DEPARTMENT OF BIOCHEMISTRY

    Reg.No.

    PROJECT WORK

    Certificated that this is the bonafied record of the project work done

    by Miss.---------- of II M.Sc., at the PG & Research Department of

    Biochemistry, K.M.G. College of Arts and Science. R.S.Road Gudiyatham.

    During 2011-2012

    Head of the Department Signature of the Guide

    Submitted for M.Sc., degree project work evolution held on ... at

    the PG & Research Department of Biochemistry. Annamalai University

    Annamalai Nagar-608 002.

    Examiners

    1.

    Date: 2.

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    DECLARATION

    I here by declare that the dissertation entitled NEPHROPATHY IN

    DIABETES MELLITUS submitted for the degree of MASTER OF

    SCIENCE IN BIOCHEMISTRY is my original work and dissertation has not

    formed the basic for the award of any Degree/ Diploma/

    Associateship/Fellowship of similar other titles. It has not been submitted to

    any other University or Institution for the award of Degree or Diploma.

    Signature of the Guide Signature of the candidate

    ABBREVIATIONS

    ACE - Angiotensin Converting Enzyme LIST OF CONTENTS

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    CHAPTER

    NO.TITLE PAGE NO.

    1. INTRODUCTION 12. REVIEW OF LITERATURE 8

    3. DIABETIC NEPHROPATHY 9

    4. AIM & OBJECTIVES 22

    5. MATERIALS AND METHODS 23

    6. RESULTS 39

    7. DISCUSSION 50

    8. SUMMARY 53

    9. CONCLUSION 55

    10. BIBLIOGRAPHY 56

    LIST OF TABLES

    TABLE

    NO.

    TITLE PAGE NO.

    1. AGE DISTRIBUTION 39

    2. SEX 41

    3. FAMILY HISTORY 42

    4. DURATION 43

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    5. PERSONAL HABITS 44

    6. BLOOD PRESSURE 45

    7. BLOOD GLUCOSE LEVEL 46

    8. LIPID PROFILE 47

    9. MICROALBUMINURIA 4810. CREATININE & ALBUMIN

    CREATITINE RATIO

    49

    ACEI - Angiotensin Converting Enzyme Inhibitor

    ACR - Albumin Creatinine Ratio

    ARBs - Angiotensin Receptor Blocker

    ESRD - End Stage Renal Disease

    HDL - High Density Lipoprotein

    LDL - Low Density Lipoprotein

    T.CHOL - Total Cholesterol

    TGL - Triglycerides

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    VLDL - Very low Density Lipoprotein

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    ACKNOWLEDGEMENT

    I express My Sincere thanks to the Chairman KALVITHANTHAI

    Thiru.K.M.GOVINDARAJAN, Vice Chairman Thiru.

    K.M.G.BALASUBRAMANIAN, Secretary Thiru. K.M.G.RAJENDIRAN,

    B.Sc,. M.L., K.M.G.MUTHUKUMAR B.Com., Joint managing Trustee.

    I extend my gratitude to our Principal Dr. D.GAJAPATHY, Ph.D.,

    D.H.Ed., K.M.G. College of Arts and Science, R.S Road, Gudiyattam,

    Vellore District, Who helped us by providing a good infrastructure for

    completing my original work.

    I feel immensely grateful to express my gratitude to my respected Guide

    Mr.G.RAGHUVARMAN. M.Sc., M.Phil., P.G.D.M.L.T., Department of

    Bio-chemistry, K.M.G. College of Arts and Science, Gudiyattam, for his

    kindly help during the course of the project work.

    I express my sincere thanks to Dr.R.BABUJANARTHANAM, M.Sc.,

    M.Phil., Ph.D.,Head of the Department of Biochemistry K.M.G COLLEGE

    OF Arts and Science, Gudiyattam, for his kindly help during the project work.

    I express my thanks to All My Staff Members of Department of

    Biochemistry.

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    It is my pleasure to convey my whole hearty gratitude to my parents

    Mr.S.JAYAKUMAR, Mrs.J.SARASWATHY, my brother Mr.J.VIGNESH

    B.E., my Uncle K.SAMPATH., my sisterJ.VANITHA,M.Sc., and my whole

    family who had made invaluable sacrifice encouraged and blessed me to

    succeed in my efforts.

    I acknowledged with great pleasure co-operation by my friends

    Ms.S.SARANYA, M.Sc,. D.M.L.T., M.MADHUMATHY,B.Sc Nursing.,

    throughout my project work.

    Here I would bring into the notice of the help provided by

    Mr.GOPI, B.Sc., Mr.BALUPRAKASH, I.T.I.,and A.KUMARESH. B.Sc.,

    B-Tech., EXCEL BROWSE POINT, for their timely help during my project

    work.

    I finally thank LORD ALMIGHTY for showing his blessing on me

    and for guiding me in all endeavours.

    J.VIDHYA

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