Diabetic nephropathy as a cause of end stage renal disease in El-Minia governorate: Three-year study

ABSTRACT

The number of patients who have diabetes and end stage renal disease and are being admitted to renal replacement treatment is increasing dramatically worldwide, and in many countries, diabetes has become the single most frequent cause of renal failure. This study assesses trends in incidence of diabetes-related end-stage renal disease in El-Minia governorate during the period of 2003-2005. Cross sectional study structured questionnaires were used that focused on variables suspected as an etiological factors for end stage renal disease. Results, the interviewed patients were 1096 and the total number of diabetic nephropathy patients was 95. The incidence of diabetic nephropathy increased from 5% in 2003 and 6.1% in 2004 to 7.5% in 2005. The mean age of patients with diabetic nephropathy was significantly higher than that of patients with ESRD from other causes. Furthermore, incidence of diabetic nephropathy was mere in urban than in rural areas incidence of diabetic nephropathy in El-Minia governorate increased gradually from 2003-2005. The mean age of patients with diabetes was significantly higher than that of patients with end stage renal disease from other causes and the incidence of diabetic nephropathy was lower in rural than urban areas. More attention should be paid toward diabetic patients to avoid infections causing glomerulonephritis and toward the premature death due to cardiovascular diseases or stroke before ESRD can develop