Authors : Ramidha VP, Ramidha VP, N C Sebastin, N C Sebastin, Nisha Bhavani, Nisha Bhavani
DOI : 10.18231/2394-2126.2019.0023
Volume : 6
Issue : 1
Year : 2019
Page No : 93-97
Introduction: Aim of the study was to know the prevalence and association of microalbuminurea with microvascular complication among type II diabetic patients attending tertiary health care.
Materials and Methods: Retrospective chart analysis of 375 Type 2 diabetic patients coming to the endocrine clinic at Amrita institute of medical science and research centre Cochin from 2007 to 2012 was done. Randomly selected diabetic patients satisfying the inclusion criteria were selected. Subjects were considered to have microalbuminuria, if the ACR was between 30 and 300, and macroalbuminuria at more than 300. All patients underwent the specific tests for retinopathy, nephropathy, and neuropathy.
Result: The prevalence of microalbuminuria in the study subjects was 55.2%. Individuals with microalbuminuria in comparison to normo and macroalbuminurics showed a greater prevalence of diabetic retinopathy and neuropathy. Multivariate logistic regression analysis showed retinopathy as a significant independent risk for microalbuminuria. The average ACR was significantly high in patients with diabetic complications.
Conclusion: The estimation of urine albumin to creatinine ratio is an easy method for screening of microalbuminuria that is suggested for all diabetic patients.
Keywords: Type 2 diabetes mellitus, Microalbuminurea, Diabetic nephropathy, Retinopathy, Neuropathy.