Glycemic Control and Prevalence of Chronic Kidney Disease in Type‑2 Diabetes Mellitus Patients at Primary Healthcare Centers in Yogyakarta Province 2015
Journal Title: Indonesian Journal of Clinical Pharmacy - Year 2017, Vol 6, Issue 2
Abstract
Good glycemic control in type-2 diabetes mellitus (T2DM) has proven to be able to prevent complications. Primary healthcare is at the forefront being expected to provide good services in T2DM management for preventing such complication as chronic kidney disease (CKD). The incidence of CKD that often shows no specific symptoms and the limitations in diagnostic examinations at primary healthcare centers has caused delay in diagnosis and suboptimal therapy management. This study aimed to determine glycemic controls and prevalence of CKD in patients with T2DM in primary healthcare centers as well as to assess patient’s factors related to the glycemic controls and prevalence of CKD. This cross-sectional study in six primary healthcare centers in Yogyakarta in 2015 involved adult T2DM patients without a history of chronic liver disease. The glycemic control parameters comprised of Fasting-Blood-Glucose (FBG), Glycated-Albumin (GA), or glycated-hemoglobin (HbA1C), while the estimated GlomerularFiltration-Rate (eGFR) was used as the basis for CKD classification. A total of 101 patients with an average age of 50.75±6.73 years old engaged in the research. Good glycemic control was found in only 13.86% patients, while 12.87% of them had CKD. No patient factors affected the glycemic control. Meanwhile, age and T2DM duration are correlated with the prevalence of CKD (p<0.01). The research found that poor glycemic control was likely to increase the occurrence of CKD amounting to 63.64%. Therefore, better strategies for T2DM management as well as CKD prevention were required, including the provision of adequate examination facilities to minimize the incidence of clinical inertia in primary healthcare centers.
Authors and Affiliations
Vitarani D. A. Ningrum, Zullies Ikawati, Ahmad H. Sadewa, Mohammad R. Ikhsan
Keywords
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- EP ID EP369649
- DOI 10.15416/ijcp.2017.6.2.78
- Views 88
- Downloads 0
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