Abstract :
Background: Diabetic nephropathy being the leading cause of kidney transplant also affects major vital organs
of the body. It increases the risk of mortality in diabetic patients along with hypertension, cardiopathy and other
concurrent diseases. The main aim of study was to observe management and prevalence of nephropathy among
the diabetic patients.
Methods: An observational study was conducted during August-2016
to September- 2016 in different hospitals of Lahore. 50 patients of diabetic nephropathy were randomly selected
and data was collected by filling questionnaires from patients. Collected data was analyzed and results were
presented in the form of graphs and tables.
Results: Results showed that the prevalence of diabetic nephropathy depends on socioeconomic background of
the patients, as 42% of the patients were unemployed, 40% smokers, with a family history of diabetes type-II.
The medications prescribed mostly consist of antihypertensives, antidiabetics and 70% of ACE inhibitors and
Angiotensin-II. 88% of the patients found ACE inhibitors more beneficial than their previous medications as
they had very few side effects, and 60% patients had HbA1c value in range due to use of regular medication.
56% of patients used tablets while 43% used injections.
Conclusion: It was concluded that prescriptions of nephropathy patients indicated more ACE inhibitors.
NSAIDs should be avoided in nephropathy as they increase GFR rate and affect kidney badly
Keyword :
Diabetic nephropathy, End-Stage-Renal-Disease, Hypertension, ACE inhibitors, Urine protein, GFR.