Diabetic kidney disease and glycaemic control in Type-2 Diabetes at Primary Care in Kuantan, Pahang

Abdullah, Fa’iza and Kamaluzaman, Qamarul Azwan and A. Rahman, Nor Azlina and Md Aris, Mohd Aznan (2023) Diabetic kidney disease and glycaemic control in Type-2 Diabetes at Primary Care in Kuantan, Pahang. Malaysian Family Physician, 18 (Supplement 1). p. 13. ISSN 1985-207X E-ISSN 1985-2274

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Abstract

Introduction: Diabetic kidney disease (DKD) is the primary cause of end-stage kidney disease, leading to renal and cardiovascular complications. Treatments achieving blood sugar levels under control can delay the progression of the disease. Objective: �is study aims to determine the prevalence of DKD in selected primary care clinics in Kuantan, Pahang and its association with glycaemic control among T2DM patients. Methods: A retrospective study of 304 T2DM patients’ records, aged ≥18 years, was selected by systematic random sampling in four government health clinics in Kuantan. Statistical analysis was done in the SPSS version 26.0, using Pearson’s chi-square test and binomial logistic regression analysis. Results: Among the respondents, 50.3%, 69.1%, and 57.6% were aged ≥ 60 years (mean age of 59.1 years), Malay and female, respectively. 82.6% had diabetes ≥ 5 years (mean duration of 10.1 years). Most of them had at least two comorbidities (90.5%), including hypertension or dyslipidaemia, on oral glucose-lowering drugs only (56.9%) and were overweight (76.4%). �e prevalence of diabetic kidney disease in T2D was 55.3% (95% CI = 54.8-55.9%). Multiple logistic regression showed that DKD was associated with age group ≥ 60 years old (AOR= 1.610 [1.19; 2.17]; p=0.02), uncontrolled blood pressure (AOR= 1.658 [1.27; 2.16]; p<0.001), and poor glycaemic control (AOR= 6.213 [3.30; 11.73]; p<0.001). Conclusion: More than half of T2DM patients su�er from DKD. �ose with poor glycaemic control have a six times higher risk of having DKD than those with good glycaemic control. A targeted educational program, early screening and monitoring, and aggressive treatment in T2D are vital to achieving an HbA1c target of less than 7% to curb the progression of DKD.

Item Type:	Article (other)
Subjects:	R Medicine > R Medicine (General) R Medicine > RA Public aspects of medicine
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Allied Health Sciences Kulliyyah of Medicine Kulliyyah of Medicine > Department of Family Medicine (Effective: 1st January 2011)
Depositing User:	SR NUR FARHANA LATFI
Date Deposited:	03 Jul 2023 11:13
Last Modified:	03 Jul 2023 11:13
URI:	http://irep.iium.edu.my/id/eprint/105262

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