Abstract
Background: Diabetes is raising recently more in the developing countries due to sedentary life style and with increase in duration, complications arise affecting renal, retinal, cardiovascular and nervous systems. Diabetic nephropathy poses a great risk of renal failure and is the cause for performing dialysis. Microalbuminuria is the earliest marker for the renal and cardiovascular involvement. This study aims to study the incidence of microalbuminuria in first diagnosed diabetic patients and to correlate it with the body mass index (BMI), hypertension and waist hip circumference. Methods: This study was conducted on 138 first diagnosed diabetic patients in a tertiary care hospital. Microalbuminuria was analyzed using dipstick method and correlation was made with parameters such as blood pressure, body mass index, and waist-hip circumference. Result: The incidence of microalbuminuria in first diagnosed diabetic patients was 17%. Incidence of microalbuminuria is increased in hypertensive diabetic patients (37%) compared with non-hypertensive diabetic patients (10%) which was statistically significant (p=0.001, r=0.292). Incidence of microalbuminuria among first diagnosed diabetic patients was 17%. The correlation of microalbuminuria with hypertension, BMI and waist-hip ratio suggest that microalbuminuria incidence is significantly associated with hypertension than BMI and waist-hip ratio. Conclusion: Microalbuminuria is the earliest indicator for detecting nephropathy. The incidence of microalbuminuria of 17% during first diagnosis of diabetes indicates the inadequacy in the health care system regarding the screening programs in the rural population. Thus, improvements must be made in the health care system to reduce the incidence rate by effective screening program. DOI: 10.21276/APALM.1259
Highlights
Diabetes is a rising crisis in India
Microalbuminuria is the earliest indicator for detecting nephropathy
The incidence of microalbuminuria of 17% during first diagnosis of diabetes indicates the inadequacy in the health care system regarding the screening programs in the rural population
Summary
Diabetes is a rising crisis in India. India leads the world with the largest number of diabetic subjects and this is expected to further rise in the coming years. Studies on diabetes related complications are essential to assess the burden of diabetes.[1] The prevalence of diabetes is increasing sharply in the developing countries as people adopt more sedentary life styles. Type 1 and 2 diabetes mellitus have caused a great havoc by increasing the morbidity and mortality by mainly affecting the cardiovascular, renal, retinal system, nervous system and others.[2]. Microalbuminuria is the earliest indicator of diabetic kidney disease and generalized vascular endothelial dysfunction. In patients with known diabetes, microalbuminuria is related to subsequent proteinuria, and even more strongly to early death, mainly from cardiovascular disease. Diabetes is raising recently more in the developing countries due to sedentary life style and with increase in duration, complications arise affecting renal, retinal, cardiovascular and nervous systems. This study aims to study the incidence of microalbuminuria in first diagnosed diabetic patients and to correlate it with the body mass index (BMI), hypertension and waist hip circumference
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
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 callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
