Frequency of Microvascular Complications in the Early Phase of Diabetes Mellitus Type 2 with AlbuminuriaIsmana Surkovic1, Ismet Suljevic2, Antonija Filipovic3, Maida Turan3, Omer Suljevic31University Clinical Center Sarajevo, Clinic for Endocrinology, Diabetes and Metabolism Diseases, Sarajevo, BIH 2University Clinical Center Sarajevo, Clinic for Anesthesiology and Resuscitation, Sarajevo, BIH 3Public Institution Health Center of Sarajevo Canton, Sarajevo, BiH
INTRODUCTION: Diabetes Mellitus Type 2 (DM2) is characterized by varying degrees of insulin resistance, impaired insulin secretion, and increased glucose production. Some people with DM2 have more complications such as nephropathy, retinopathy, and neuropathy. The earliest stage of renal impairment occurs with prolonged microalbuminuria. This study aimed to determine the incidence of the most common microvascular complications in DM2 patients. METHODS: We retrospectively evaluated the data of 126 patients who had undergone treatment in 2014. It includes anamnesis, laboratory, and physical examination data from the patient histories. All patients with early stage DM2 were separated into two groups based on the presence of albuminuria: Group I - macroalbuminuria and Group II - microalbuminuria (<300 mg). Analysis and statistical processing of the collected data were performed to evaluate microvascular complications and determine the incidence of albuminuria in the studied population. RESULTS: The prevalence of macroalbuminuria was 60.3% (76 patients). In both groups, as in the total sample, the frequency of women was higher (57.9%). The prevalence of macroalbuminuria was strongly influenced by age (≥65 years) of the patients (72.4%, average age = 69.8±11.1 years). Microalbuminuria has been proven to be an extremely significant marker for development of microvascular complications in DM2 (retinopathy 39.5%, neuropathy 52.6%, and nephropathy 54%). DISCUSSION AND CONCLUSION: Early diagnosis of microvascular complications and an adequate therapeutic approach is needed to prevent disability. Therefore, it is important to introduce the screening for the presence of microalbuminuria in practice, which will identify patients at increased risk of developing microvascular complications.
Keywords: Complications, diabetes; nephropathy; neuropathy; retinopathy.
Ismana Surkovic, Ismet Suljevic, Antonija Filipovic, Maida Turan, Omer Suljevic. Frequency of Microvascular Complications in the Early Phase of Diabetes Mellitus Type 2 with Albuminuria. . 2020; 31(4): 329-334
Sorumlu Yazar: Ismana Surkovic, Bosnia and Herzegovina |
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