Abstract
Introduction: Diabetic nephropathy is an important complication of diabetes mellitus leading to significant morbidity and mortality. Objectives: To study the awareness of diabetic nephropathy in patients with type 2 diabetes mellitus (T2DM) and the factors influencing patient awareness of diabetic nephropathy. Patients and Methods: Four hundred subjects, aged above 18 years with T2DM as per American Diabetes Association (ADA) criteria, were selected. Patient awareness regarding diabetic nephropathy was assessed as per a prefixed questionnaire. Results: Awareness of basic information concerning diabetes was present in more than 60% of patients. No significant differences were seen between awareness scores of male and female (P = 0.385), rural and urban (P = 0.120) and literate and illiterate (P = 0.567) diabetic patients. Awareness scores were higher in diabetic patients exceeding 50 years of age (P = 0.004) and patients having diabetes for more than10 years (P < 0.0001), controlled diabetes (P = 0.026) and diabetic nephropathy (P < 0.0001). Awareness of diabetic nephropathy was independently associated with duration of diabetes (P = 0.010) and diabetic nephropathy (P = 0.011) but not with age (P = 0.754) and control of diabetes (P = 0.229). Conclusion: A substantial proportion of diabetic patients are still unaware of the basic facts about diabetes and diabetic nephropathy. Awareness of diabetic nephropathy depended upon duration of diabetes and presence of diabetic nephropathy and requires promotion during early stages of diabetes to improve control of diabetes and prevent diabetic nephropathy.
Highlights
Diabetic nephropathy is an important complication of diabetes mellitus leading to significant morbidity and mortality
We studied the awareness of diabetic nephropathy in patients with type 2 diabetes mellitus (T2DM) and the factors affecting patient awareness of diabetic nephropathy
A sizeable number of diabetic patients are still unaware regarding some of the basic facts about diabetes and diabetic nephropathy
Summary
Diabetic nephropathy is an important complication of diabetes mellitus leading to significant morbidity and mortality. Awareness scores were higher in diabetic patients exceeding 50 years of age (P = 0.004) and patients having diabetes for more than years (P < 0.0001), controlled diabetes (P = 0.026) and diabetic nephropathy (P < 0.0001). Diabetes mellitus (types 1 and 2), is the foremost cause of incident and prevalent chronic kidney disease (CKD) and accounts for approximately 30% to 40% CKD and up to 45% of end-stage renal disease [6]. In the past 2 decades, there has been a steady rise in the incidence of end-stage renal disease among patients with diabetes, mostly those with type 2 diabetes as per the reports of the US renal data system. Diabetic nephropathy is a principal cause of morbidity and has an association with increased cardiovascular mortality in T2DM.
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
