Prevalence of Microalbuminuria in Diabetic Patients in Al-Najaf city………………………………………………….
Kerbala Journal of Medicine,
Volume 2, Issue 4, Pages 491-496
Abstractbackground: Diabetic nephropathy accounts for a significant reduction in life expectancy
of diabetic patients, approximately 80% of Type 1 diabetic patients and 30% of type 2
diabetic patients with microalbuminuria progress to overt nephropathy after 10–15 years.
Objective: To determine the prevalence of micro- and macro-albuminuria in diabetic patients in
AL-Najaf city and the predictive value of some risk factors.
Method: Urinary albumin-creatinine ratio (ACR) in a spot early morning urine sample was used
and the patients were categorized as normo-albuminuric when ACR<30 mg/g, microalbuminuric
when 300>ACR≥30 and macro-albuminuric when ACR≥300 mg/g.
Results: Prevalence of albuminuria among Type1 patients was 4(67%) microalbuminuria, 0%
macroalbuminuria, i.e. 67% had abnormal urinary albumin-creatinine ratio (ACR). The
corresponding prevalence for Type 2 patients was 26(52%) micro-albuminuria, 4(8%) macroalbuminuria
and total of 30(60%) for abnormal urinary albumin-creatinine ratio (ACR).
Conclusion: The occurrence of microalbuminuria detected in this study was much higher than
previously reported in other studies and the duration of diabetes was the strongest predictor.
Key words: diabetes mellitus, microalbuminuria, diabetic nephropathy.
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