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The current work was designed to investigate serum angiopoietin like protein-8 and hyaluronic acid among Iraqi hemodialysis patients with and without type 2 diabetes mellitus, and to find relationship between them, as well as if these patients are at risk of kidney fibrosis. Subjects & Methods: in this study, serum samples were obtained from (60) Iraqis patients with end stage renal diseases (ESRD)on hemodialysis (HD) (30 patients with T2DM (G2) and 30 patients withoutT2DM (G3)) in addition to (30) healthy individuals as a control group (G1), their ages ranged from (35-65) years. The patients attended the Al-Yarmouk Teaching Hospital, Baghdad. Results: the results in this study showed a highly a significant elevation inserum angiopoietin like protein-8 (ANGPTL8) and hyaluronic acid (HA) levels in G2 and G3 comparing with G1, Also,a no significant elevation in ANGPTL8 level, and a highly significant decrease in HA level were found in G3 comparing to G2. Additionally, a highly significant correlation for ANGPTL8 with FSG, HbA1C%, urea, creatinine, and HA in G1, G2, and G3.Conclusions: This study was the first in estimation of the serum ANGPTL8 level and proved a relationship between ANGPTL8 and end stage renal diseases. There are an increase in serum ANGLP8 and HA levels in patients with end stage renal diseases on hemodialysis, and this suggests that the ANGPTL8 and HA possibly will be using as a potential markers predicting kidney fibrosis in hemodialysis patients with and without T2DM, and then these patients may be at risk of renal fibrosis.