Please use this identifier to cite or link to this item: https://scholarbank.nus.edu.sg/handle/10635/149649
Title: Microalbuminuria prevalence study in hypertensive patients with type 2 diabetes mellitus in Singapore
Authors: Wu A.Y.T.
Tan C.B.
Eng P.H.K.
Tan K.T.
Lim S.C. 
Tan E.K. 
Keywords: Diabetes mellitus
Diabetic nephropathy
Hypertension
Macroalbuminuria
Microalbuminuria
Issue Date: 2006
Citation: Wu A.Y.T., Tan C.B., Eng P.H.K., Tan K.T., Lim S.C., Tan E.K. (2006). Microalbuminuria prevalence study in hypertensive patients with type 2 diabetes mellitus in Singapore. Singapore Medical Journal 47 (4) : 315-320. ScholarBank@NUS Repository.
Abstract: Introduction: Microalbuminuria is a marker of increased cardiovascular morbidity and mortality. It represents the earliest clinical evidence of diabetic nephropathy. Its early detection allows for implementation of individually-tailored cardiovascular risk reduction management programmes. Despite this, information on the prevalence of microalbuminuria in hypertensive patients with type 2 diabetes mellitus in Singapore is limited. Methods: The Microalbuminuria Prevalence Study (MAPS) assessed the prevalence of macroalbuminuria and microalbuminuria in consecutively-screened hypertensive adult patients with type 2 diabetes mellitus in ten Asian countries. This paper presents the results of a sub-analysis of data from patients in Singapore. Results: Singapore contributed seven percent of the overall enrolment into MAPS; a total of 499 patients were enrolled and 388 constituted the per-protocol population (patients with bacteriuria and haematuria were excluded). Overall, the prevalence of diabetic kidney disease was high. In our study population, 23.5 percent of patients had macroalbuminuria (95 percent confidence interval [CI] 21.3-25.6), and 48.5 percent of patients had microalbuminuria (95 percent CI 45.9-51.0). Only 28.1 percent (95 percent CI 25.8-30.4) of patients were normoalbuminuric. Associated factors were poor glycaemic control and poor blood pressure control. Conclusion: The high prevalence (72 percent) of microalbuminuria and macroalbuminuria found in hypertensive patients with type 2 diabetes mellitus in Singapore is a cause for concern. These findings highlight the need to screen for microalbuminuria and better manage hypertensive patients with type 2 diabetes mellitus, if we are to avoid a major increase in end-staee renal disease.
Source Title: Singapore Medical Journal
URI: http://scholarbank.nus.edu.sg/handle/10635/149649
ISSN: 00375675
Appears in Collections:Elements
Staff Publications

Show full item record
Files in This Item:
File Description SizeFormatAccess SettingsVersion 
Microalbuminuria.pdf216 kBAdobe PDF

OPEN

NoneView/Download

Google ScholarTM

Check


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.