Prevalence of Chronic Kidney Disease in type 2 Diabetes and risk factors that associated with decrease of kidney function in PCC Rongsor

Abstract

Background:   Long term complication of Diabetes is Chronic Kidney Disease (CKD) and no prior study was to determine the prevalence of CKD in type 2 diabetes  and risk factors that associated with decrease of kidney function in PCC Rongsor.

Objective:      To determine the prevalence of CKD in type 2 diabetes  and risk factors that associated with decrease of kidney function in PCC Rongsor.

Study design: A retrospective cohort study of type 2 diabetes patients who attended at PCC Rongsor. collected data from 1 February 2019 – 31 October 2019.

Results:         A total of  300 type 2 diabetic patients had CKD 90 (30.0%); 27.0% with stage 3 (15.3% with stage 3a and 11.7% with stage 3b) and 3% with stages 4. urine albumin strip positive 78.5%. Cox regression analysis showed the following variables were significantly associated with CKD were age (OR=1.042, 95% CI 1.016-1.069), duration of diabetes mellitus (OR=4.750, 95% CI 1.470-15.351), HbA1C (OR=1.358, 95% CI 1.128,1.636), previous underlying disease of hypertension (OR=16.056, 95% CI 6.261-41.170) and dyslipidemia (OR=5.825, 95% CI 3.142-10.797).

Conclusion:    Chronic Kidney Disease in type 2 diabetes in PCC Rongsor is highly prevalence. The present study demonstrated clinical characteristic in a primary care setting. Optimal treatment and surveillance by Family medicine concept and multidisciplinary team of diabetes care to be slow the progression of CKD.

Keywords:      Chronic Kidney Disease, Type 2 Diabetes, Prevalence, Risk factors, Family medicine concept