A STUDY ON COMPARISON BETWEEN MICROALBUMINURIA AND MACROALBUMINURIA IN TYPE 2 DIABETICS ON SEVERITY OF DIABETIC RETINOPATHY

ABSTRACT

Aim: The Aim of study is to measure the prevalence of albuminuria (both microalbuminuria and macroalbuminuria) among type 2 diabetic patients and to estimate its role on severity of diabetic retinopathy in type 2 diabetics. Materials and Methods: A cross sectional study conducted at ophthalmology department,Dr SN Medical College, Jodhpur, Rajasthan in 300 type 2 diabetic patients in one year of study period. All the patients had done ocular examination. The ETDRS scale used for grading Diabetic retinopathy. A morning urine sample used for detecting albuminuria. Urine albumin excretion values 30-300 mg in 24 hrs considered as microalbuminuria and values >300 mg in 24 hrs considered as macroalbuminuria.The analysis was done using SPSS 16.0. Results: The prevalence of microalbuminuria is 31.80% and prevalence of macroalbuminuria is 20.60%. Patients with macroalbuminuria has a greater prevalence of diabetic retinopathy as compare to patients who has normo or microalbuminuria which is statistically significant, p value< 0.001. Conclusion:In type 2 diabetics patients Microalbuminuria is a very useful in estimating the severity of diabetic retinopathy. Patients who have microalbuminuria is on higher risk for the development and progression of diabetic retinopathy