Risk factors in patients with type 2 diabetes mellitus and stage 3 chronic nephropathy. Nephrology Service, Centro Especializado Dr. Rafael Hernández L., 2022.

Servicio de Nefrología, Centro Especializado Dr. Rafael Hernández L., 2022.

Abstract

It has been shown that Chronic Kidney Disease (CKD) develops in 35.5% of diabetic patients. This progression is variable, because it depends on demographic and clinical factors that reflect the metabolic control of the disease. There are risk factors such as: duration of diabetes, age, higher BMI, high HbA1c, HBP and smoking. Objective: Determine the risk factors in patients with diabetes mellitus 2 (DM2) and stage 3 CKD treated in the Nephrology Service of the Dr. Rafael Hernández L. Specialized Center. Method: Retrospective study where diabetic and non-diabetic patients were identified with CKD in stages 3a/3b according to GFR. The universe of the study was 80 records and the sample was 67 patients. Results: Using the KDIGO guidelines, it was found that 57% of diabetics and 35% of non-diabetics are at high risk for CKD. The main risk factors identified were HBP, dyslipidemia and age, followed by obesity and CVD. The majority of patients presented a cumulative of 4 or 5 risk factors, with a higher prevalence in CKD stage 3b. In non-diabetic patients, a predominance of stage 3b was observed based on 5 cumulative risk factors. Conclusions: The most prevalent risk factors are HBP, advanced age, dyslipidemia and obesity. This study highlights the relationship between these risk factors and CVD with CKD.