[Diabetes and microalbuminuria: about 87 cases]

ABSTRACT

Microalbumimuria is now, considered to be the reference parameter for an early screening of diabetic renal involvement. It constitutes also a predictive marker for a cardiovascular morbidity risk. Our goal in this study was to identify the different clinical and biologic factors that may correlate .with microalbumimuria. In type 1diabetic patients, microalbumimuria was, found to be correlated with the duration of diabetes [p=0,004], the retinopathy [p< 0,001], as well as with hypertension [p=0,001]. No correlation was found with BMI, HbAlc or serum lipid levels. In type 2 diabetes, we found a correlation between microalbumimuria and BMI [p=0,008], total cholesterol [p=0, 001], HbAI C [p=0,029], serum creatinine [p=0, 04], retinopathy [p> 0, 01] and hypertension [p=0,003]. An early management of these different factors may limit the risk and the evolutivity of diabetic nephropathy