Chronic kidney disease in type 2 diabetes mellitus: frequency, causes of development, eatures of hypoglycemic therapy
Chronic kidney disease (CKD) was found in 36.9 % cases among 2000 patients with type 2 diabetes mellitus examined on the basis of a mobile therapeutic and preventive module (Diamodul) in the districts of Novosibirsk region. The decrease in glomerular filtration rate (< 60 ml / (min × 1, 73 m2) was revealed in 20 % of patients. The primary cause of CKD in type 2 diabetes mellitus has hypertension and diabetic nephropathy; typical symptoms of diabetic nephropathy were detected in 22.6 % of patients. There was a correlation of GFR decline with increasing age of patients, duration of diabetes, high cholesterol and uric acid. Albuminuria level dependents on the duration of diabetes mellitus, glycated hemoglobin, triglycerides and uric acid. The presence of CKD C3a – C5 with type 2 diabetes significantly increased the incidence of CAD, stroke. Most patients with CKD did not reach the target values in the level of HbA1c, lipid and blood pressure and needed therapy change.
About Authors (Correspondence):
Bondar I.A. – doctor of medical sciences, professor, head of the department of endocrinology, e-mail: email@example.com
Zenkova E.V. – candidate of medical sciences, assistant professor of the chair of endocrinology, e-mail: firstname.lastname@example.org
Krasnopevtseva I.P. – candidate of medical sciences, assistant professor of the chair of endocrinology, e-mail: k.i.p.@ngs.ru
Shabelnikova O.Yu. – candidate of medical sciences, assistant professor of the chair of endocrinology, e-mail: email@example.com