Abstract:
Introduction: Diabetic chronic kidney disease (CKD) is a clinical syndrome documented with persistent albuminuria> 300 mg / day or> 200 µgm / minute, which confirms in at least twice times within 3-6 months, constant decline in glomerular filtration rate (GFR) and increased blood pressure. CKD affects about 10-13% of the general population where a small proportion with end stage renal diseases are required renal replacement therapy and kidney transplantation.
Objective: To find out the Risk factors of diabetic chronic kidney disease hospitalized in the Clinic of Diabetes Patients.
Material and methods: The study was conducted for three years from January 2016 to January 2018. The Study subjects was 600.Patients who were admitted in hospital with diabetes and metabolic diseases are included in the study subject and unselected patients without diabetes registered at Shaheed Ziaur Rahman Medical College Hospital, Bogra, Bangladesh. During study, demographic data (age, sex), anthropometric data (weight, height, body mass index, waist circumference, and hip circumference), clinical data (retinopathy, diabetic neuropathy, and diabetic nephropathy), treatment of comorbidities, family history (diabetes, hypertension, dyslipidemia, stroke, heart attack, obesity, autoimmune diseases, etc.), and smoking data were collected and analyzed.
Results: We conducted a study of 600 subjects (295 women and 305 men), divided into 3 groups. Sex ratio of 3 groups are have relatively balanced, as it follows: the patients integrated in the study in Grroup 1 were 32 (32%) women, 68 (68%) men, in Group 2 were 101 (50%) women and 99 (50%) men, and in the controlling Group 162 (54%) women and 138 (46%) men. The analyzed subjects were distributed on age groups, as it was shown in table 1. It was observed that, as expected, the patients from the insulin-dependent group had a younger age.
Conclusions: The study, including individual and comparative analysis of clinical and preclinical parameters incriminated as potential risk factors in the development of chronic kidney disease in diabetes development has led to the development of conclusions that may be of importance and practical application in the prevention and delay disease progression. Diabetes is identified as a disease with a strong impact on health in association with micro-and macro vascular complications.
