EARLY DETECTION OF MICROALBUMINURIA IN PRIMARY CARE IN PATIENTS WITH DIABETES WITHOUT MONITORING BY SPECIALISTS

Renato Carnevalli Jacovetti, Amanda Fioravanti Gondim, Júlia Zanin Caldas, Cláudia Nascimento Montemor and Amanda Carolina Damasceno Zanuto

ABSTRACT

Introduction: Diabetes mellitus, especially type 2 (T2DM), is a multifactorial metabolic disorder related to sedentary lifestyle and inadequate diet. Due to its insidious evolution, diagnosis is usually late, when there are already serious complications. In this context, diabetic kidney disease is one of the most common complications, characterized by reduced glomerular filtration rate (GFR) and variable albuminuria. Early detection of microalbuminuria allows intervention in initial phases with better evolution and delayed progression of CKD. Objective: This cross-sectional study aimed to evaluate the presence of microalbuminuria in T2DM patients in primary care without specialist follow up. Methodology: 187 patients from four PHU in Rolândia, Brazil, had their microalbuminuria tested with a dipstick in a spot urine sample. All participants signed the informed consent form approved by the institution. Results: The results showed no significant differences in the association between microalbuminuria and the variables: GFR, glycated haemoglobin (HbA1c), tobacco use and alcoholism. In the study population, there is a prevalence of elderly, female, and white race, with less than 8 years of education. The main comorbidities are arterial hypertension, dyslipidaemia, smoking and alcoholism. Conclusion: No significant differences were observed in the association between microalbuminuria and GFR, HbA1c, smoking and alcoholism.

Keywords: Diabetes mellitus; albuminuria; primary health care.