Prevalence of Hypertension, Dyslipidemia and Renal Insufficiency in Type 2 Diabetic Patients

Abstract

Abstract

Thailand is amidst a demographic transition showing an aging trend with increasing

non-communicable diseases including diabetes. The aim of this work was to study the prevalence

of hypertension, dyslipidemia, and renal insufficiency  in type 2 diabetic patients. Data were

extracted  from  medical  records  of  6  health  promoting hospitals  and 1  general  hospital in

Nong Wua Saw District, Udon Thani Province, Thailand.  Two hundred and thirty four records

of Type  2 diabetic patients were retrieved and reviewed  for hypertension,  HbA1c  level, blood

urea nitrogen (BUN),  creatinine level, blood lipid profile, microalbuminuria  and eGFR  during

2015-2016.  Forty-one  percent of  the diabetic patients presented hypertension,  thirty  four

percent LDL-C more than 130 mg/dL and forty eight percent eGFR less than 90 mL/min/1.73m2.

Age,  BUN,   creatinine,  and eGFR   of  diabetic patients were  associated with  hypertension.

Moreover,  age, BUN,  creatinine, and HbA1c  of diabetic patients were associated with eGFR

stage. Univariate  analysis  of diabetic patients with hypertension and parameters adjusted by

age and gender  has  confirmed  association  of  hypertension  and eGFR   stage of  the patients.

In  conclusion,   this  study  indicated  that persons  with  T2DM   tend to  have  hypertension,

dyslipidemia,  and  kidney  problem.  Moreover,  results  of  this  study  will  serve  as  primary

epidemiological   data  leading  to  further  studies  on  factors  associated  with  hypertension,

dyslipidemia,  and renal  insufficiency  in  type 2 diabetic patients which  will  help therapeutic

regimen of T2DM.