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

Abstract

Introduction: The currently available data in the public domain, is either from some specific regions in the country or it doesn't capture the prevalence of CKD specifically in T2DM population. 9,14 Therefore, it was eminent to perform a pan-India epidemiological study to get a clear cut idea on the prevalence of CKD in T2DM patients. Hence, the present study was conducted to assess the clinical spectrum of CKD patients with type 2 diabetes mellitus. Material and Methods: This was a cross-sectional, observational, study to assess the clinical spectrum of CKD among T2DM patients. The blood/plasma and urine samples, were collected for estimation of hemoglobin A1c, microalbuminuria, serum creatinine, urine creatinine, and routine urine analysis. Results: When assessed blood pressures of the cases, we observed that the mean systolic blood pressure was 138 (12.4) mmHg, and mean diastolic blood pressure among the study subjects was 84 (6.4) mmHg. The mean HbA1C levels observed among the cases was 7.9 (1.27). Conclusion: Study reported higher prevalence of CKD which was driven by the ACR levels and majority of the patients had reasonable eGFR. This can be a guide to select drug and dosage of diabetes drug as it depends on kidney function.