Main Article Content

Dr. Preeti Dharapur
Dr Pushpa MB
Dr Kavitha VC


Diabetes, Microalbuminuria, Microvascular complications


INTRODUCTION: Microvascular complications influence the quality of life and pose a significant burden on the diabetic patients. Microalbuminuria is associated with glomerular pathology and increased level of risk of complications.

MATERIAL & METHODS: Present study was a hospital based observational study done at Bidar Medical College Hospital where 200 diabetic patients visiting the Medicine OPD were selected for the study of 6 months. A pre designed proforma was used to get the demographic, clinical data and in detail clinical examination was done. Relevant investigations were done. Data was compiled and analyzed.

RESULTS: There was a male preponderance with one third being in age group of 51-60 years age group. Mean duration of diabetes was 17.52 years and the mean age of onset of diabetes was 32.3 years. Prevalence of microalbuminuria was found in one thirds (33.5%, n=67). And with regards to microvascular complications, the incidence of retinopathy, neuropathy and nephropathy was 13% (n=26), 27% (n=54) and 21% (n=42) respectively. Among patients with Microalbuminuria, retinopathy was seen in 28.4%, neuropathy in about two thirds (62.7%) and nephropathy in half the proportion of study population (49.2%) respectively.

CONCLUSIONS: Statistically significant association was found between incidence of microvascular complications and presence of microalbuminuria. Hence adequate monitoring and follow up of diabetic patients is extremely important apart from medications to prevent or anticipate complications at an early stage.

Abstract 91 | PDF Downloads 46


1. World Health Organization (WHO) Factsheets on Diabetes. Accessed from the following weblink:
2. Key Indicators for India from NFHS-5. Mumbai, India: International Institute of Population Sciences (IIPS) and Macro International; 2019-20. Available from:
3. Key Indicators for Karnataka from NFHS-5. Mumbai, India: International Institute of Population Sciences (IIPS) and Macro International; 2019-20. Available from:
4. Factsheets on Diabetes mellitus from National Health Portal (NHP) under Ministry of Health and Family Welfare, Government of India. Available from:
5. Agrawal, RP, Ola, V, Bishnoi, P, Gothwal, S, Sirohi, P, Agrawal, R. Prevalence of micro and macrovascular complications and their risk factors in type-2 diabetes mellitus. J Assoc Physicians India. 2014;62:504-508.
6. Govindarajan Venguidesvarane, A., Jasmine, A., Varadarajan, S., Shriraam, V., Muthuthandavan, A. R., Durai, V., Thiruvengadam, G., & Mahadevan, S. (2020). Prevalence of Vascular Complications Among Type 2 Diabetic Patients in a Rural Health Center in South India. Journal of Primary Care & Community Health 2020;11:1-11.
7. Raman, R, Gupta, A, Krishna, S, Kulothungan, V, Sharma, T. Prevalence and risk factors for diabetic microvascular complications in newly diagnosed type II diabetes mellitus. Sankara Nethralaya Diabetic Retinopathy Epidemiology and Molecular Genetic Study (SN-DREAMS, report 27). J Diabetes Complicat. 2012;26:123-128.
8. Dipika Bansal, Kapil Gudala, Hari Prasad Esam, Ramya Nayakallu, Raja Vikram Vyamusani, Anil Bhansali, "Microvascular Complications and Their Associated Risk Factors in Newly Diagnosed Type 2 Diabetes Mellitus Patients", International Journal of Chronic Diseases, vol. 2014, Article ID 201423, 7 pages, 2014.
9. Chowta NK, Pant P, Chowta MN. Microalbuminuria in diabetes mellitus: Association with age, sex, weight, and creatinine clearance. Indian J Nephrol. 2009;19(2):53-56. doi:10.4103/0971-4065.53322
10. Rodicio JL, Campo C, Ruilope LM. Microalbuminuria in essential hypertension. Kidney Int. 1998;54:1523–755.
11. George L. Bakris and Mark Molitch. Microalbuminuria as a RiskPredictor in Diabetes: TheContinuing Saga. Diabetes Care 2014;37:867–875.
12. American Diabetes Association. Diagnosis and classification of diabetes mellitus. Diabetes Care. 2006 Jan;29 Suppl 1:S43-8.
13. Sana MA, Chaudhry M, Malik A, Iqbal N, Zakiuddin A, Abdullah M. Prevalence of Microalbuminuria in Type 2 Diabetes Mellitus. Cureus. 2020;12(12):e12318.
14. Ramidha VP, Sebastin NC, Bhavani N. Micro albuminuria in type 2 DM-prevalence and its association with microvascular complications. Indian J Clin Anat Physiol 2019;6(1):93-97.
15. Mustafa Hussein, Sami Menasri.Prevalence of Microvascular Complications in Type 2 Diabetics Attending a Primary Healthcare Centre in Sudan. Int J Diabetes Metab 2019;25:127–133.
16. Kosiborod, M., Gomes, M.B., Nicolucci, A. et al. Vascular complications in patients with type 2 diabetes: prevalence and associated factors in 38 countries (the DISCOVER study program). Cardiovasc Diabetol 17, 150 (2018).
17. Bhavya N, Kumar VA. A Study of Association between Microalbuminuria and Microvascular Complications in Type II Diabetes Mellitus Patients in RajaRajeswari Medical College and Hospital, Karnataka. J Med Sci 2017;3(1):6-10.