The association between hypertension and poor glycemic control with microalbuminuria among Cuban‐Americans with type 2 diabetes

Abstract

The study investigated the association between hypertension (HTN) and glycemic control (GC) with microalbuminuria (MAU) among 181 Cuban‐Americans with type 2 diabetes (T2D). Subjects were randomly recruited from Miami‐Dade and Broward Counties, FL. MAU was determined in urine samples by a semi‐quantitative assay. Blood pressure was measured twice and averaged. HbA1c was determined in fasting blood samples. Subjects were stratified into 2 groups according to HbA1c levels (<7.0% and >7.0%). Analyses used SPSS and included descriptive statistics and logistic regression controlling for age, gender, BMI, years with diabetes, smoking, kcal and protein intake, blood lipids, waist circumference, diabetes and cholesterol medications. Logistic regression analyses showed that after adjusting for the control variables, subjects with HTN were 2.44 times more likely to have MAU than those without HTN (OR=2.44, p= .036 95 CI 1.05 to 5.62). There were no significant differences among subjects with poor and good GC. Subjects with HTN and poor GC were 2.66 times more likely (OR= 2.66, p= .012, CI 1.24 to 5.70) to have MAU than those without HTN and good GC. The findings of this study indicate that the likelihood of having MAU is higher when hypertension and poor GC is present among Cuban‐Americans with T2D.