IJSR International Journal of Scientific Research 2277 - 8179 Indian Society for Health and Advanced Research ijsr-7-2-14090 Original Research Paper A Study on Nephropathy and Concurrent Retinopathy among Type– 2 Diabetic Patients Nahar Begam Dr. Debananda Gonjhu Dr. Sekhar Pal Dr. Netai Pramanik Dr. February 2018 7 2 01 02 ABSTRACT

 

Introduction: Diabetes Mellitus refers to a group of common metabolic disorders that share the phenotype of high blood sugar. Diabetes related complications affect almost every organ system and are responsible for the high morbidity and mortality associated with the disease. It can be greatly reduced by early and consistent surveillance procedures as part of comprehensive diabetes care.

Aim and Objective: To detect the presence of diabetic nephropathy and detection of retinopathy in the study population to see the concurrence rate so as to evaluate the presence of nephropathy with or without retinopathy.

Material and methods:

An observational study was conducted on consecutive 200 patients with type 2 Diabetes Mellitus patients attending OPD as well as inpatients in CSTM at the School of Tropical Medicine, Kolkata from April 2015 to March 2016.

Results: Prevalence of diabetic nephropathy was 38% and that of retinopathy was 88%. Retinopathy had a very significant statistical correlation to nephropathy. Estimated GFR below 60 ml/min/1.73m2 has a strong correlation to nephropathy. Age more than 50 years and duration of disease more than 15 years was found to be statistically significant with nephropathy. Retinopathy had a strong correlation to microalbuminuria, serum creatinine, BMI more than 25, eGFR less than 60 ml/min/1.73m2 and nephropathy. Concurrent retinopathy and nephropathy were found in 37.5% and concurrent retinopathy and neuropathy increases the predictive value of nephropathy.

Conclusion: This study showed that early and consistent surveillance for organ involvement needed for patients with type 2 Diabetes Mellitus as part of comprehensive diabetes care, so that we can prevent them early.