Volume : VII, Issue : IX, September - 2017

PREDICTORS OF DIABETIC RETINOPATHY IN PATIENTS WITH TYPE 2 DIABETES MELLITUS WITH NORMOALBUMINURIA

Seeni Mohamed Irsath, Sundaraj Ravindran

Abstract :

 To estimate the prevalence of Diabetic Retinopathy in patients with Type 2

Diabetes Mellitus who have normoalbuminuria.

To study the predictors ( Anemia, Duration of Type 2 Diabetes Mellitus,Hypertension) of Diabetic Retinopathy in patients with normoalbuminuria.

 

MATERIALS AND METHODS

This study was conducted among 100 patients with Type 2 Diabetes

Mellitus attending Department of General Medicine in Govt. Rajaji Hospital,Madurai.This study is done in 100 type 2 diabetes mellitus patients .Patients are first performed renal function test and microalbumin in urine.Patients with normal renal function test and normoalbuminuria are selected.Then they undergo haemoglobin estimation, measurement of blood pressureand history of duration of type 2 diabetes mellitus are elicited.Now the patient undergoes fundus examination and screening for diabeticretinopathy is done.Then the prevalence of diabetic retinopathy and the predictors of diabetic retinopathy in patients with normoalbuminuria are calculated.

RESULTS:

In our study, the diabetic retinopathy estimated prevalence in patients with

normoalbuminuric type 2 diabetes mellitus is around 40%. Hence in normoalbuminuric type 2 diabetes individuals, presence of other predictors like anemia (Hb < 8 gms), systemic hypertension and longer duration of diabetes can identify the individuals with diabetic retinopathy which was statistically significant in our study.

CONCLUSIONS:

In patients of type 2 DM, inspite of normoalbuminuria diabetic retinopathy is very much common. Absence of albuminuria should not be the criteria to defer for screening of diabetic retinopathy. Various predictors for the determination of DR are the estimated levels of haemoglobin, diabetes duration, and associated systemic hypertension.Hence, even in type 2 diabetes patients with normoalbuminuria,presence of other predictors like low haemoglobin, systemic hypertension and longer duration of diabetes can identify high risk individuals who develop diabetic retinopathy.

Keywords :

Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

Seeni Mohamed Irsath, Sundaraj Ravindran, Seeni Mohamed Irsath, Sundaraj Ravindran, INDIAN JOURNAL OF APPLIED RESEARCH : Volume-7 | Issue-9 | September-2017

Number of Downloads : 277

References :