Determinants of microalbuminuria among type 2 diabetes mellitus patients in Kuala Selangor district: A cross-sectional study
https://doi.org/10.51866/oa.122
- Author:
Nurul Farehah Shahrir
1
;
Noor Rafizah Aminah Aziz
2
;
Fatimah Lailiza Ahmad
3
;
Nor Anizah Muzaid
4
;
Farhani Samat
5
;
Sharifah Nurul Aida Syed Ghazaili
6
;
Nuraini Dolbasir
7
;
Nurul Nadia Baharum
8
;
Sharmilee a/p T.Ramanathan
9
;
Siti Zaharah Binti Abd Rahman
10
;
Ap. Sa’aidah Bat
11
;
Maznah Sarif
12
;
Noor Afiza Ismaal
13
Author Information
1. MBBS (UiTM), MPH, DrPH (USM) Pejabat Kesihatan Daerah Kuala Selangor, Jalan Semarak, Bandar Melawati, Kuala Selangor, Malaysia
2. MBBS (UM), MPH (USM) Pejabat Kesihatan Daerah Kuala Selangor, Jalan Semarak, Bandar Melawati, Kuala Selangor, Malaysia.
3. MD(UKM) Pejabat Kesihatan Daerah Kuala Selangor, Jalan Semarak, Bandar Melawati, Kuala Selangor, Malaysia
4. MD(UKM) MMed(Family Medicine) (UKM) Klinik Kesihatan Kuala Selangor, Jalan Klinik, Bandar Malawati, Kuala Selangor, Malaysia.
5. MD(UKM) MMed (Family Medicine) UiTM Klinik Kesihatan Tanjong karang, Kuala Selangor, Malaysia.
6. MD(UKM) MMed (Family Medicine) (USM) Klinik Kesihatan Bestari Jaya, Bestari Jaya, Malaysia
7. MD (UKM), MMed (Family Medicine) (UM) Klinik Kesihatan Jeram, Jalan KlangTelok Intan, Jeram, Malaysia.
8. MBBS (IIUM), MMed (Family Medicine) (UiTM) Klinik Kesihatan Bukit Cherakah, Jalan Rizab Masjid, Jeram, Malaysia.
9. MBBS (MAHE,MANIPAL)(FRACGP/ MAFP) Klinik Kesihatan Ijok, JKR 1087, Jalan 14, Ijok, Batang Berjuntai, Malaysia.
10. MBBS (CUCMS) Klinik Kesihatan Sg. Tengi Kanan, Jalan Kiai Moid, Tanjong Karang, Malaysia.
11. MD (USU) Klinik Kesihatan Bukit Cherakah Jln Rizab Masjid, Kg. Bukit Cherakah, Jeram, Malaysia.
12. Diploma Kejururawatan Klinik Kesihatan Bukit Cherakah, Jln Masjid, Jeram, Malaysia.
13. Diploma Kejururawatan Klinik kesihatan Sg Tengi Kanan, Jalan Kiai Moid, Tanjung Karang, Malaysia.
- Publication Type:Journal Article
- Keywords:
Microalbuminuria;
Type 2 diabetes mellitus;
HDL;
HbA1c;
Neuropathy
- MeSH:
Diabetes Mellitus, Type 2;
Glycated Hemoglobin
- From:Malaysian Family Physician
2022;17(3):53-63
- CountryMalaysia
- Language:English
-
Abstract:
Introduction: Microalbuminuria presents significant health risks for the progression of endstage renal-failure (ESRF) among type 2 diabetes mellitus (T2DM) patients. This study aims to determine the proportion and associated factors of microalbuminuria among T2DM patients in Kuala Selangor district, Malaysia.
Methods: A retrospective cross-sectional study was conducted from December 2020 to February 2021 using secondary data from the National Diabetic Registry (NDR), Malaysia, and reviewed patients’ diabetic records for the year 2020. All T2DM patients aged ≥18 years who were registered with the NDR in 2020 and fulfilled the inclusion and exclusion criteria were included in the study. Descriptive statistics and multiple logistic regression analysis were performed. Data were analysed using SPSS version 26.0. A total of 343 samples were included in this study for the determination of the proportion of microalbuminuria and its associated factors.
Results: Of 343 respondents, 34.4% had microalbuminuria. HbA1c >7.0% (AdjOR 2.19, 95% CI: 1.35, 3.55, p=0.001), HDL <1.04 mmol/L (AdjOR 2.44, 95% CI: 1.323, 4.52, p=0.004), dyslipidaemia (AdjOR 1.90, 95% CI: 1.03, 3.48, p=0.039), and peripheral neuropathy (AdjOR 3.01, 95% CI: 1.02, 8.93, p=0.047) were significantly associated with microalbuminuria.
Conclusion: Microalbuminuria is a modifiable risk factor in preventing the progression of ESRF among T2DM patients. Therefore, identification of factors associated with microalbuminuria among this high-risk group is important to facilitate early screening and prompt treatment to prevent progression of diabetic kidney disease to ESRF.
- Full text:2025082012554768032v17n3-OA-Determinants-of-microalbuminuria-among.pdf
