STUDY OF THE PREVALENCE OF MICROALBUMINURIA AND RETINOPATHY IN PREDIABETES IN A TERTIARY CARE HOSPITAL
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2015, Vol 2, Issue 6
Abstract
BACKGROUND AND OBJECTIVE: Diabetes is a chronic disease that has a prolonged prediabetic phase. Indians develop diabetes 10 years earlier than other ethnic groups (mean age 42.5 years). 1 Diet, environment, genetics play a major role in development of diabetes. Complications of diabetes are directly proportional to the duration of diabetes and dysglycemia. Prediabetes is a condition is which glucose levels are high to be considered as normal, eventhough they do not meet the criteria for diabetes. 10%-50% of prediabetics may develop diabetes in 3-10 year period. Components of prediabetes include either an isolated impaired fasting glucose or impaired glucose tolerance or both. Microvascular complications can begin is the prediabetic stage itself. Present study has been done to know the prevalence of microalbuminuria and retinopathy is prediabetic stage and correlation of both in prediabetics. MATERIALS AND METHODS: This study was conducted in a tertiary care Hospital from June 2013 to May 2014. Screening was done and patients recruited into the study after fulfilling the inclusion and exclusion criteria. American Diabetes Association Criteria2 was used for screening and results were correlated using various parameters to know the prevalence of microalbuminuria and retinopathy in prediabetes. Data was analyzed using statistical package for social sciences(spss) version 20.0. RESULTS: In this study, 500 patients were screened for diabetes. 100 patients were included in the study. Prevalence of prediabetes was seen in 20% of patients screened. 19% of prediabetics had microalbuminuria and 8% had retinopathy. Association of both conditions was seen is 7% of patients. CONCLUSION: Diabetic Microvascular complications like retinopathy and nephropathy in the form of microalbuminuria starts even in the prediabetic stage in a significant number of patients. Screening high risk individuals for diabetes and screening of prediabetics for microvascular complications is needed for prevention of overt diabetes, diabetic retinopathy and nephropathy by early intervention.
Authors and Affiliations
Purushottam Rao B, Raja Lakshmi Bai G, Raja Sekhar Kennedy G, Satyanarayana K. V. V
Keywords
Related Articles
- EP ID EP222748
- DOI 10.18410/jebmh/2015/87
- Views 97
- Downloads 0
ROLE OF MULTIPHASE CT IN DIFFERENTIATING PLEOMORPHIC ADENOMA FROM OTHER PAROTID NEOPLASMS
BACKGROUND Pleomorphic adenoma of parotid gland shows mild enhancement immediately after IV contrast injection. This property can be used in differentiating it from other parotid neoplasms. The aim of this study was to r...
A COMPARATIVE STUDY BETWEEN SPONTANEOUS PLACENTAL DELIVERY AND MANUAL REMOVAL OF PLACENTA DURING CAESAREAN SECTION
BACKGROUND The objectives of this study were to assess intra operative advantages and disadvantages, surgical benefits and problems, and postoperative febrile morbidity following spontaneous delivery of placenta, as comp...
ISOLATION OF CRYPTOCOCCUS LAURENTII FROM CONSTRUCTION WORKER WITH PANSINUSITIS - ? AN OCCUPATIONAL HAZARD
PRESENTATION OF A CASE A 51 year old women who is a construction worker, presented with right sided facial pain for the past 2 weeks. She also complained of right sided nasal obstruction followed by foul smelling nasal d...
COMPARISON OF MICRONUCLEATED CELL IN BUCCAL SMEARS AMONG SMOKERS AND NON-SMOKERS
BACKGROUND The health complexities caused due to tobacco smoking has not been restricted to any geographic region and has spread worldwide. As the oral mucosal cells, which line the oral cavity are the first barrier, the...
STUDY OF THE IMMUNOHISTOCHEMICAL EXPRESSION OF p53 AND Ki67 (MIB1) IN OVARIAN TUMOURS AND THEIR CORRELATION WITH CLINICOPATHOLOGICAL FACTORS
BACKGROUND Ovarian cancer, a leading cause of death, is characterized by marked heterogeneity in clinical presentation, so an accurate histopathological diagnosis is vital for management and to predict outcome of therapy...