Diagnostic Assessment of Cases with Chronic Kidney Disease with Diabetes Mellitus Type 2

ABSTRACT

Introduction: The currently available data in the publicdomain, is either from some specific regions in the countryor it doesn’t capture the prevalence of CKD specifically inT2DM population.9,14 Therefore, it was eminent to performa pan-India epidemiological study to get a clear cut idea onthe prevalence of CKD in T2DM patients. Hence, the presentstudy was conducted to assess the clinical spectrum of CKDpatients with type 2 diabetes mellitus.Material and Methods: This was a cross-sectional,observational, study to assess the clinical spectrum ofCKD among T2DM patients. The blood/plasma and urinesamples, were collected for estimation of hemoglobin A1c,microalbuminuria, serum creatinine, urine creatinine, androutine urine analysis.Results: When assessed blood pressures of the cases, weobserved that the mean systolic blood pressure was 138(12.4) mmHg, and mean diastolic blood pressure among thestudy subjects was 84 (6.4) mmHg. The mean HbA1C levelsobserved among the cases was 7.9 (1.27).Conclusion: Study reported higher prevalence of CKD whichwas driven by the ACR levels and majority of the patientshad reasonable eGFR. This can be a guide to select drug anddosage of diabetes drug as it depends on kidney function.