Control of risk factors for nephropathy among Nigerian outpatients with Type 2 diabetes mellitus

摘要: Background and Objectives : To determine the proportion of type 2 diabetic  outpatients with adequate control risk factors for nephropathy in a Nigerian teaching hospital. Methods Between April July 2005, 160 diabetic were  assessed average fasting blood glucose pressure over 3 visits, current use ACE inhibitors. All patients were 30 years age had been followed up at least one year 6 prior clinic visits. Results We studied 58 male 102 female subjects mean (±SD) 54±10 years. The majority (54.7%) diabetes between 1 5 years, 95% on antidiabetic drugs, most commonly both sulphonylurea metformin (64.5%). 114 (71.2%) being treated hypertension. (FBS) was 7.6±2.9mmol/L, 73 (45.6%) good glycaemic control  (mean FBS≤ 5.6mmol/L). A total 51 (31.9%) (<140/90mmHg non-hypertensives <130/80mmHg hypertensives), currently receiving Only five (3.1%) combination control, received Conversely, 23 (14.4%) poor not Duration (p<0.01), elevated creatinine systolic blood  (p<0.01) independently associated proteinuria. Conclusion Despite availability measures to prevent progression nephropathy, poor. Physicians Nigeria must work together improve their management nephropathy. Key words Diabetes mellitus, chronic kidney disease, renoprotection