eISSN: 2345-4202  
J Nephropharmacol. 2018;7(2):98-103.

Original

Prevalence and characteristics of diabetic kidney disease in type 2 diabetic patients in Abidjan, Côte d’Ivoire

Sindou Sanogo 1, Serge Didier Konan 1, Kouamé Hubert Yao 1 * , Emma Kouassi 2, Séry Patrick Diopoh 1, Jean Aka 1, Randolphe Niava 1, Amos Ankotche 2

1 Department of Nephrology and Internal Medicine, University Hospital of Treichville, Abidjan, Côte d’Ivoire
2 Division of Diabetology, University-Hospital of Treichville, Abidjan, Côte d’Ivoire
*Corresponding author: Kouamé Hubert Yao, Email: Email: yaohubert@yahoo.fr

Abstract

Introduction: Diabetes mellitus is a disease whose prevalence has been steadily increasing worldwide.

Objectives: To evaluate the prevalence of diabetic kidney disease and to identify the associated factors in type 2 diabetic patients.


Material and Methods
: This was a descriptive and analytical cross-sectional study. The study was conducted over a period from January to June 2016, among patients with type 2 diabetes, followed up at the Division of Diabetology of the University Hospital of Treichville, Abidjan.
Results: Of 154 included patients, diabetic nephropathy (DN) was observed in 40 cases (25.9% prevalence). We observed a female predominance (sex ratio; 0.17) and the mean age of 57.7 ± 11 years. Based on the K/DOQI guidelines, half of our patients had stage 3 kidney disease. Complications such as diabetic retinopathy (100%), hypertension (HT) (75%), dyslipidemia (45%) and obesity (30%) were found. Factors such as female sex (P = 0.001; OR [95% CI] = 4.76 [1.85-12.19]), a range 55-65 years old (P = 0.010; OR [95% CI] = 2.64 [1.26-5.53]), obesity (P = 0.012; OR [95% CI] = 3.06 [1.27-7.36]), hypertension (P = 0.0001; OR [95% CI] = 4.77 [2.12-10.71]) and HbA1c <7% (P = 0.002; OR [94% CI] = 3.42 [1.57-7.44]) were associated with nephropathy by multivariate analysis.

Conclusion: the prevalence of diabetic kidney disease is high in our study. The associated factors are non-modifiable such as female gender and age, but also modifiable such as obesity and hypertension.

Implication for health policy/practice/research/medical education:

Our study showed that one out of four type 2 diabetic patients had nephropathy. Modifiable factors such as obesity and hypertension were associated with it. Their systematic management could help to reduce the diabetic kidney disease.

Please cite this paper as: Sanogo S, Konan SD, Yao KH, Kouassi E, Diopoh SP, Aka J, et al. Prevalence and characteristics of diabetic kidney disease in type 2 diabetic patients in Abidjan, Côte d’Ivoire. J Nephropharmacol. 2018;7(2):98-103.

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Submitted: 20 Apr 2018

Accepted: 14 Jul 2018
First published online: 20 Jul 2018
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