Association of Diabetic Retinopathy, Albuminuria and CKD in Patients with Type 2 Diabetes Mellitus
Journal Title: Journal of Medical Science And clinical Research - Year 2018, Vol 6, Issue 1
Abstract
Background: Retinopathy and renal involvement are two of the major microvascular complications of diabetes mellitus. Recent reports challenge the traditional view of renal involvement progressing from increased glomerular filtation to progressively increasing levels of albuminuria that culminate in chronic kidney disease, and have found that retinopathy and albuminuria may not always co-exist. This study was undertaken to understand the relationship between retinopathy, albuminuria and chronic kidney disease in patients with type 2 diabetes mellitus. Methods: One hundred patients with type 2 diabetes mellitus attending the diabetic clinic were evaluated for retinopathy and renal parameters that included a 24 urinary albumin excretion, serum creatinine and evidence of chronic kidney disease based on the estimated glomerular filtration rate. Results: 67 patients were found to have retinopathy, out of which 12 (17.9 %) had no evidence of any abnormal renal parameters, 25 (37.3%) had only abnormal albuminuria (microalbuminuria or macralbuminuria), one (1.5 %) had evidence of CKD, and 29 (43.3 %) had both albuminuria and CKD. 16 patients with CKD did not have any evidence of retinopathy. Conclusion: There was a statistically significant association between the presence and severity of retinopathy, and abnormal urinary excretion of albumin. A similar association between retinopathy and CKD was not seen
Authors and Affiliations
Dr Annapurna Kumar
Keywords
Related Articles
- EP ID EP502115
- DOI -
- Views 73
- Downloads 0
Husain-Hena Principle of “Rainbow Counseling” – A Study of Deviant Electra Complex
Clinical psychology is a branch of applied psychology which primarily focuses on the underlying mechanism and etiologies of psychological health and dysfunction. Recently new tools for counseling have emerged which have...
Ischemia Modified Albumin –An Early Marker of Myocardial Ischemia
Introduction: Coronary heart disease (ischemic heart disease-IHD) is projected to be the leading cause of death by 2030, accounting for 25-30% of deaths in industrialized countries. Aim and objective: To estimate serum I...
A Study of Hypertension in Chronic Alcoholics
A chronic alcoholic is a person who is severely addicted to and dependent on alcohol. They will often have no job, no contact with family or friends, are not in control of their drinking, and may suffer from cognitive im...
Endoscopic and Histopathologic Features in Patients of Portal Hypertensive Duodenopathy
Objective: The aim of study is to describe the frequency of PHD in portal hypertension patients and its various clinical, endoscopic and histopathologic features. Methods: Ninety four patients with cirrhosis and portal h...
Prediction of Neonatal Seizures in HIE by APGAR Score and Umbilical Cord Blood pH
Background: Hypoxic Ischemic Encephalopathy (HIE) due to Perinatal asphyxia is one of the commonest cause of symptomatic seizures in newborn period. In fact, about two-thirds of cases of neonatal seizures are due to HIE....