Asociación entre albuminuria y retinopatía diabética en pacientes con diabetes mellitus tipo 2 atendidos en el área de consulta externa del Hospital de Especialidades Teodoro Maldonado Carbo en el periodo enero a diciembre del 2017.

Abstract

INTRODUCTION: Diabetes Mellitus type 2 is a world-wide endocrinology disease, which consists in a state of persistent chronic hyperglycemia, and is also associated with abnormalities of metabolic processes, like: fats, carbohydrates and proteins, that will proceed to tissues and organs failure. OBJECTIVE: Establish a relation between albuminuria and diabetic retinopathy in patients with diabetes mellitus, through review of medical record data for detection of early microvascular ophthalmologic complications. METHODS: A comparative retrospective study was carried out with 3261 patients, whose sample was 252 patients, who met the inclusion and exclusion criteria. RESULTS: Of the total subjects, 47% had A1 albuminuria and proliferative diabetic retinopathy, 53% suffered A1 albuminuria and non-proliferative diabetic retinopathy, 64% had A2 albuminuria with proliferative diabetic retinopathy, and 36% A2 albuminuria and non-proliferative diabetic retinopathy (p=0,006); thus, the majority of patients with A2 albuminuria (57,54%) presented proliferative diabetic retinopathy. CONCLUSION: 57,54% of patients with more than 5 years of diabetes mellitus had A2 albuminuria. A1 albuminuria was seen in the majority of diabetic with non-proliferative diabetic retinopathy, which represents 53%, in contrast with proliferative diabetic retinopathy (47%).