Epidemiology of diabetic nephropathy in the poor patients from rural south-east India, Mirza Baig, Sayed Gillani, Sayed Sulaiman, Malaysia Krishna and K. Narayan
Mirza Raiullah Baig, Sayed Wasif Gillani and Sayed Azhar Sayed Sulaiman, University Saints Malaysia (USM), Malaysia
Devakonda Radha Krishna, Kakatiya University, India
K. Narayan, Mahatma Gandhi Memorial General Hospital, India
Abstract: Diabetic nephropathy has become a highly prevalent health problem in the poor patients. Left untreated, it progresses inexorably to greater levels of severity at variable rates. The aim of this study was to assess primary care processes and clinical characteristics of nephropathy with type2 diabetes in the representative sample of Warangal city in south-east India who were receiving their routine treatment in the government hospital. A structured questionnaire was used to obtain details on demography, occupation, family income, medical history, depression, physical activity, dietary pattern, laboratory test which includes blood glucose test, blood pressure, microalbuminuria test, etc. The prevalence of diabetic nephropathy in poor patients was found to be 17.14%. The first analysis was carried out using occupation and employment status as a marker for socio-economic status. About 80.6% and 69.9% patients were uneducated and unemployed respectively. Those who are employed, 88.3% of them had a monthly income of <100 US$. The frequency table for gender showed 59.2% of female patients with diabetic nephropathy. The study has revealed many risk factors found in these poor patients associated with the treatment adherence of diabetic nephropathy and were compared with the progression of microalbuminuria, which includes intake of crude alcohol & animal protein, tobacco chewing, smoking, poverty, poor medicine compliance. The treatment regimen in these patients showed a significant decrease of P< 0.05 in microalbuminuria with antihypertensive drugs like ACE Inhibitors and antidiabetic drugs like glibenclamide. These preliminary data suggest that prevalence of diabetic nephropathy in poor patients is increased due to lack of patient care and reduced quality of life. The data can be used as an excellent tool for local quality improvement and to advice the government on diabetic care in poor patients.
Keywords: Diabetic nephropathy, Microalbuminuria, Poor patients, Medicine compliance