English

Abstract

To establish a relation between diabetic retinopathy and diabetic nephropathy in type II diabetes mellitus. To find out the relation between level of glycosylated haemoglobin (HbA1c) with diabetic retinopathy and diabetic nephropathy. An observational clinical study where 50 patients with diabetic retinopathy included. HbA1C, blood urea and serum creatinine levels of these patients were measured and the correlation between these values with the severity of retinopathy was assessed. Among 50 patients, 31 were males and 19 females. Mean age of patients was 62 years. Mean duration of diabetes mellitus was 6.9 years. None of the patients with severe NPDR and PDR had HbA1C under very good control. 64.3% with mild NPDR, 78.2% with moderate NPDR, 87.5% with severe NPDR and 100% patients with PDR had HbA1C under poor control. In mild NPDR group 14.3%, in severe NPDR group 50% and in PDR group 40% had blood urea >40. In mild NPDR group 14.3%, in severe NPDR group 50% and in PDR group 60% had serum creatinine>1. Glycosylated haemoglobin showed increasing trend as severity of diabetic retinopathy increased. Blood urea and serum creatinine also showed a positive correlation with diabetic retinopathy.