Incidence of Diabetic Nephropathy in Newly Diagnosed and Recently Diagnosed Type II Diabetes Mellitus
Journal Title: IJAR-Indian Journal of Applied Research - Year 2016, Vol 6, Issue 11
Abstract
Introduction:Diabetic nephropathy or Diabetic Kidney Disease is the leading cause of ESRD. Microalbuminuria has recently emerged as a marker of widespread vascular damage in type 2 diabetes mellitus. Its early detection helps in preventing or reversing the progression of renal damage by medical Intervention. This study aims to detect individuals having DM with undiagnosed chronic kidney disease i.e. to detect the incidence of diabetic nephropathy in type 2 DM, using the Microalbuminuria method. Materials & Methods : A study of incidence of diabetic nephropathy in patients with type II diabetes mellitus was carried out by estimating microalbuminuria (Micral test). RESULTS: 74% of Newly diagnosed patients had FBS value in the range of 120- 200mg/dl, followed by 12% and 8% had FBS of 200-250 and 250-300mg/dl respectively. 46% of recently diagnosed diabetics had FBS value in the range of 120-200mg/dl, followed by 24% and 14% had FBS of 200-250 and 250- 300mg/dl respectively. 68% of Newly diagnosed diabetics had PPBS in the range of 200-300mg/dl, followed by 16% and 10% had PPBS values of 300-400 and <200mg/dl respectively. 32% of Recently diagnosed diabetics had PPBS in the range of 200- 300mg/dl, followed by 28% each in the range of 300-400mg/dl and200mg/dl. Total prevalence of Microalbuminuria was 32% (32 patients), where in 20 patients were Newly diagnosed Diabetics and 12 patients were Recently diagnosed Diabetics. Conclusion: Microalbuminuria is not only an indicator of incipient Nephropathy but also a marker of severe disease with widespread vascular damage. Hence all the patients who have been newly diagnosed with Diabetes must be investigated for Mircoalbuminuria and appropriate treatment options or Preventive Strategies to be taken for the same.
Authors and Affiliations
Dr. Raman M Hulinaykar, Dr. Manonmani M H
Keywords
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