Assessment of risk factors of diabetic nephropathy in Swaroop Rani Nehru hospital, Allahabad, Utter Pradesh
Singh Pallavi, Paul Virginiaand, Singh Shikha
Diabetic nephropathy is the leading cause of End Stage Renal Disease (ESRD) worldwide and it is estimated that more than 20% type 2 diabetic patients reach ESRD during their lifetime.
Objectives: To find out nutritional and other risk factors associated with the prevalence of diabetic nephropathy.
Research Design: In this study the risk factors associated with the diabetic nephropathy was identified among the known diabetic subjects. Type 2 diabetic subjects (n=60), inclusive of known diabetic subjects with condition of either microalbuminuria (UAE >20 μg/min and ≤199 μg/min) or macroalbuminuria (UAE ≥200 μg/min) were purposively selected from the nephrology department of Swaroop Rani Medical Collage, Allahabad.
Results: Microalbuminuria was present in 47% of respondent. Percent analysis showed that older age (60%), longer duration of diabetes (67%), high BMI (60%), HbAlc (80%), serum creatinine (70%), and triglyceride level (60%), high blood pressure (73%), low hemoglobin level (60%), high plasma glucose (83%) and lower HDL cholesterol level (67%) were directly associated with albuminuria. But albuminuria was not associated with the gender, smoking (23%), total cholesterol (10%), LDL cholesterol (13%) or family history of diabetes (27%). Faulty food habits due to the lack of nutritional awareness were also measured as a major risk factor associated with development of diabetic nephropathy.