PREVALENCE OF MICROALBUMINURIA AND MACROALBUMINURIA IN A CANARIAN POPULATION OF TYPE-2 DIABETIC-PATIENTS - RELATIONSHIP WITH BLOOD-PRESSURE, LIPID PROFILE, OBESITY AND METABOLIC CONTROL
Pl. Depablos et al., PREVALENCE OF MICROALBUMINURIA AND MACROALBUMINURIA IN A CANARIAN POPULATION OF TYPE-2 DIABETIC-PATIENTS - RELATIONSHIP WITH BLOOD-PRESSURE, LIPID PROFILE, OBESITY AND METABOLIC CONTROL, DIABETES & METABOLISM, 24(4), 1998, pp. 337-343
We performed a cross-sectional study on the prevalence of micro- and m
acroalbuminuria in a population of 288 Type 2 diabetic patients from N
orthern Gran Canaria Island (age 59 +/- 9.5, years; 48% male). 179 uns
elected patients referred by their family physicians, and 109 from our
diabetes clinic. Sex, age, duration of diabetes and hypertension, blo
od pressure, body mass index, waist-hip ratio, HbA(1C), creatinine, ch
olesterol (total and HDL), triglycerides, lipoprotein (a), and the pre
sence of retinopathy, polyneuropathy, and coronary and cerebrovascular
disease were assessed. The prevalences of micro- and macroalbuminuria
were 28.5% and 11.8%. Among the patients referred by their family phy
sicians, 32.4% were micro- and 6.1% macroalbuminuric. In our diabetes
clinic, there were respectively 22% and 21% (with a higher prevalence
of macroalbuminuria than in primary care, p < 0.05). Seventy-three per
cent were hypertensive in both settings. Prevalence was 31.5% for diab
etic retinopathy, 21.0% for diabetic polyneuropathy, 8.1% for cerebrov
ascular disease, and 20.2% for coronary heart disease. The albumin exc
retion rate was significantly correlated with plasma creatinine levels
, diastolic blood pressure, total cholesterol and the presence of coro
nary heart disease and diabetic retinopathy, but not with age, duratio
n of diabetes or hypertension, body mass index, waist/hip ratio, glyca
ted haemoglobin or triglycerides.