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An audit of chronic kidney disease risk factors in type 2 diabetic patients in a tertiary hospital in Southern Nigeria


OA Adejumo
EI Okaka
AB Olokor
IO Iyawe
EI Unuigbe
LI Ojogwu

Abstract

Background: Prevalence of diabetes mellitus (DM) is on the increase in Nigeria with diabetic nephropathy (DN) as one of the commonest causes of end stage renal disease among Nigerians. We determined the risk factors of chronic kidney disease (CKD) prevalent in type 2 diabetics.
Methods: Type 2 diabetics attending the outpatient clinic of a tertiary health institution were recruited over a six week period and had their records reviewed.
Results: A total of 144 type 2 diabetics were recruited. Fifty three (36.8%) were males while 91 (63.2%) were females. Mean age of all diabetics was 57.5± 11.5 years. The prevalence of obesity, metabolic syndrome, hypertension, dyslipidaemia, and poor glycaemic control were 38.8%, 70.8%, 67.4%, 64.6%, and 46.5% respectively. Central obesity, dyslipidaemia and metabolic syndrome were significantly more prevalent in female diabetics while hypertension and metabolic syndrome were more prevalent in elderly participants. Forty-four (30.6%) of the diabetics had CKD. Hypertension, dyslipidaemia and metabolic syndrome were more prevalent in diabetics with CKD, although only hypertension was significant.
Conclusion: CKD risk factors were highly prevalent in type 2 diabetics in this study. Measures aimed at reducing these risks should be instituted to delay the onset and progression of CKD.

Keywords: diabetes mellitus, chronic kidney disease, risk factors


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eISSN: 1596-2407