FREQUENCY OF NEPHROPATHY AND ITS RELATION TO METABOL-IC CONTROL IN PATIENTS WITH DIABETES MELLITUS
oleh: Maryam Razzaghy Azar, Zahra Farahnak
| Format: | Article |
|---|---|
| Diterbitkan: | Vesnu Publications 2010-12-01 |
Deskripsi
<p class="abstract"><strong>Abstract</strong></p> <p class="abstract"><strong> INTRODUCTION:</strong> Diabetic nephropathy is a serious complication of both type 1 and type 2 diabetes, and unless arrested, leads to end-stage renal disease. The aim of this study was to find the prevalence of kidney dysfunction in patients with diabetes mellitus and to determine its correlation with metabolic control.</p> <p class="abstract"><strong> METHODS:</strong> We randomly selected 1203 cases with diabetes mellitus presenting to the Institute of Endocrinology and Metabolism. Urinary protein and creatinine were determined in a sample of 24-hour urine collection by the enzymatic methods and spot urine dipstick blood urea nitrogen, serum creatinine, HbA1c and fasting blood glucose were assessed.</p> <p class="abstract"><strong> RESULTS:</strong> In this study, 1203 patients (438 patients with type 1 diabetes mellitus [T1DM] and 777 with type 2 diabetes mellitus [T2DM]) were randomly selected. They consisted of 512 females and 721 males. Mean ± SD (standard deviation) of HbA1c was 7.9±3.4 in T1DM and 7.4±3.5 in T2DM. Based on HbA1c levels, good control was detected in 50.2% of patients, fair control in 20.4% and bad control in 29.4%. Of 1022 patients who were evaluated for proteinuria, 201 (19.7%) had albuminuria or clinical proteinuria. Of 931 patients, 19% had high levels of blood urea nitrogen and serum creatinine. End-stage renal disease (ESRD) was seen in 10 (0.8%) of all the cases. A statistically significant positive correlation was found between duration of DM, serum creatinine and 24-hour urinary protein (P< 0.001).</p> <p class="abstract"><strong> CONCLUSION:</strong> We found a high prevalence of clinical proteinuria in diabetic patients. Duration of diabetes and poor metabolic control were identified as a strong predictors of kidney damage in patients with diabetes.</p> <p class="abstract"> </p><table cellspacing="0" cellpadding="0" align="left"><tbody><tr><td width="35" height="12"><br /></td></tr> <tr><td><br /></td> <td> </td></tr></tbody></table><p class="abstract"> </p> <br /> <p class="abstract"><strong>Keywords:</strong> Diabetic nephropathy, albuminuria, end-stage renal disease.</p> <p class="abstract"> </p>