Study of Prevalence of Microalbuminuria in Patients with Type2 Diabetes Mellitus in Relation To Diabetic Retinopathy
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2018, Vol 6, Issue 10
Abstract
Diabetes Mellitus (DM), a pan metabolic disorder characterized by chronic hyperglycemia. The two primary category of diabetes are Type1 and Type 2. Type2 DM accounts for 80-85% of patients with DM among various population of the world. The disease burden of DM is primarily due to its metabolic complications. The long term complications of the eye, kidney, and heart are mainly due to duration of exposure to hyperglycemia. Retinopathy particularly non proliferative retinopathy is seen in DM but is very rare in those without DM. There is also relation between duration of hyperglycemia and the development and progression of diabetic retinopathy. A nonlinear threshold value of 8.5% HbA1c, above which there is a steep rise in incidence of retinopathy. This study was under taken to know the prevalence of microalbuminuria and its relation with diabetic retinopathy in patients with type 2 DM. This cross section study was carried out on the patients with type2DM, at Raja Rajeswari Medical College and Hospital, Bangalore between Dec 2016 to April 2017. The study included patients with type 2 DM aged above 30 years diagnosed to be diabetic according to ADA guidelines for more than 5 years. A total of 198 patients were included in the study. We observed diabetic retinopathy in 40.6% (80) of patients (Table 4). We also observed nearly 41.9% of patients had urine microalbuminuria, between 30-300mg/g and around 58% patients had <30mg/g. Patients with positive microalbuminuria and abnormal ACR had high HbA1C >9 and also it was strongly noted that these patients had duration of diabetes was more than 6 years.
Authors and Affiliations
Rekha NH, Sunayana N
Keywords
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