The rising burden of chronic kidney diseases in patients with diabetes

Abstract

BackgroundThe prevalence of chronic kidney diseases (CKD) is higher in patients with diabetes. The American diabetes association (ADA) provides components of diabetes care, treatments, and guidelines to diagnose diabetic patients at risk of CKD. Herein we followed the ADA diagnosis guidelines to identify the Type 2 Diabetes mellitus (T2DM) patients at risk of CKD which is underestimated in the region. The study main objectives are to investigate the CKD prevalence and association with risk factors according to the ADA classification, and also to identify the T2DM patients at risk of renal diseases. A descriptive retrospective study was conducted. The data were collected using face-to-face interviews and through accessing patients’ medical records from Endocrinology and Cardiology clinics in an academic tertiary care hospital.ResultsAbout 40% of the 331 T2DM outpatients were at risk of developing CKD. The majority were in CKD Stage 3, then Stage 2. The estimated GFR (eGFR) values were significantly reduced in the T2DM patients who are; older than 50 years; have diabetes for more than 10 years; and have abnormally high serum and urine creatinine, proteinuria, and albumin to creatinine ratio. Further, the eGFR values were negatively associated with; the duration of T2DM; serum creatinine, proteinuria; and albumin to creatinine ratio.ConclusionsThis study provides evidence of the increasing risk of CKD among T2DM patients in the region. Hence, T2DM patients especially elders and those with the long onset of diabetes need to go under regular checks on their clinical parameters to prevent CKD progression.