Abstract
Diabetes Mellitus has become the most prevalent endocrine disorder in recent times and associated with myriad metabolic, microvascular and macrovascular complications. India has the world’s largest Diabetes population and the disease has significant morbidity and mortality. It has become one of the leading causes of acquired blindness and accounts for at-least a quarter of cases of end stage renal disease. Being a clinically silent disease, early recognition is vital to prevent visual loss. Numerous studies carried out to determine the prevalence rate of retinopathy and albuminuria in patients with type 2 diabetes have yielded different rates, thus depicting the ethnic influence. This cross-sectional study was carried out on 300 type 2 diabetic patients attending the OPD of Department of Internal Medicine in Govt T D Medical college, Allappuzha during 2012-13. In our study, prevalence of micro-albuminuria was 23% with a higher incidence in those with longer duration of diabetes, higher age and higher BMI. Further, a significant positive association was found between micro-albuminuria and retinopathy and a negative association with HDL. This study concluded that there is justification in focussing resources on early detection of microalbuminuria in order to prevent irreversible visual and renal afflictions.
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Corresponding Author
Dr Ambili NR
Assistant Professor of Medicine, Dept of Medicine,
Govt T D Medical College, Alappuzha