Endocrine Abstracts

Introduction: The prevalence of type 2 diabetes is increasing worldwide. It is associated with significant morbidity and mortality, with majority of the patients presenting for the first time with complications. We set out to determine the renal function of type 2 DM patients presenting in our facility.

Method: A cross sectional study involving 50 type 2 diabetes patients. At presentation to the DM clinic, these were interviewed using a structured questionnaire to obtain the demographic data and clinical history. Anthropometric parameters, blood pressure, fasting blood glucose, glycated haemoglobin and serum creatinine were all assessed. Data were analyzed with SPSS version 21.0. Descriptive statistics were done. Associations were explored with the χ²-test and Pearson correlation at 5% level of significance.

Results: The mean age of subjects is 56.4+14 years, 58% of them were females. The average duration of Diabetes was 6.5+5.7 years. The mean systolic and diastolic blood pressures were 131.7+21.2 and 81.7+10.5 mmHg respectively. The average glycated haemoglobin was 9.2+2.4%. Of the patients seen, 30.3% were in CKD stage 1, Stages 2, 3 and 4 were 32.6, 30.7 and 7% respectively. None was in stage 5 (ESKD). The HbA1c negatively correlated with the CKD stage but it was not statistically significant (P=0.78, r=−0.056).

Conclusion: Patients in this series have declining renal function with worsening glycated Hb at first presentation. Early nephrology referral is indicated in patients in our environment.