Монголын Анагаахын Сэтгүүлүүдийн Холбоо (МАСХ)
Mongolian Journal of Health Sciences, 2011, 1(8)
Determining the Microalbuminuria in patients with type 2 diabetes mellitus
( Судалгааны өгүүлэл )

Baigalmaa S1*, Davaalkham D2, Altaisaikhan Kh3, Gelegjamts Kh4

1Outpatient clinic, Second General Hospital

2Department of Epidemiology and Biostatistics, HSUM

3School of Medicine, HSUM

4Department of Nephrology, HSUM

 
Абстракт

International Diabetes Federation estimates that 246 million people around the world have diabetes. For Type 2 DM, revealing of microalbuminuria expresses not only nephropathy but also the risk of cardio-vascular complications. Therefore, it becomes the indication to provide a cardiac examination. The aim of this study is to determine microalbumin in the urine with Type 2 DM. This study was conducted using hospital-based cross-sectional method. The subjects were selected from follow-up patients with Type 2 DM in endocrinology wards of the district health centers of 5 districts. General urine analysis and revealing of microalbumin was performed in fasting blood. The general analysis in the urine was determined by total protein excretion. Microalbuminuria analysis was conducted in 182 patients with no proteinuria. Microalbumin detection analysis in urine was repeated 3 times. Microalbuminuria analysis was conducted in 182 patients without proteinuria and the results of 23.1% (42) patients were positive, but 76.9% (140) were negative. Micro albumin amount in patients with positive results was ranged 20.2-187.0 mg/L.  The analysis was repeated in 42 patients with microalbuminuria and 29 patients have positive results, but 13 have negative results. The micro albumin amount of urine in patients with positive results was 21.5-194 mg/L. The results of microalbuminuria were positive in males 57.6% and in females 42.4%. The mean age of patients with microalbuminuria was 62.6. Mean period of having DM  in patients with no microalbuminuria was 6.1 years, but in patients with microalbuminuria 8.7 years.  Microalbuminuria is occurred 1.8 times higher in patients-smokers than in patients who don’t smoke. In conclusion, microalbuminuria was revealed in 18.1% of patients on whom no protein detected in general urine analysis and amount of microalbumin of urine ranged between 20.2-187.0 mg/L. 

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