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Memorias del Instituto de Investigaciones en Ciencias de la Salud

versão On-line ISSN 1812-9528

Resumo

ACOSTA, N et al. Microalbuminuria in patients with type 2 diabetes. Mem. Inst. Investig. Cienc. Salud [online]. 2005, vol.3, n.1, pp.37-42. ISSN 1812-9528.

Diabetes constitutes a common affection in Paraguay, where approximately 300,000 people are affected and approximately other 500,000 people present a disease-previous condition. Nephropathy is one of the most serious complications caused by the lack of control of the disease. At present, the access to the substitutive treatment, hemodialysis and renal transplant has displaced renal insufficiency to the third position as death causes of diabetic patients after ischemic cardiopathy and cerebrovascular accident. The presence of microalbuminuria is a clear risk marker of progression towards the complications of the disease, especially nephropathies. In this study, the prevalence of microalbuminuria found in the type 2 diabetic patients was 34.7 %, a high percentage in relation to the reference that ranges around 20 to 40 % in type 2 diabetes. There are risk factors predisposing to the development of microalbuminuria and its progression such as the duration of the diabetes, lack of control of glycemia, blood hypertension, malnutrition and smoking. The control of the above mentioned factors would reduce the risk of advance of the disease. It was observed that as the time of evolution of the disease increases, the proportion of diabetic patients with microalbuminuria also increases accompanied by a progressive increase of blood pressure.

Palavras-chave : Diabetes; Microalbuminuria; Blood pressure.

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