WORLD JOURNAL OF ADVANCE
HEALTHCARE RESEARCH

*Dr. Amina Hawfazan Mohammed and Dr. Shaimaa Salim Hussien

ABSTRACT

Background: microalbuminuria happens when the kidney's glomerulus has excessively high albumin permeability or leaks little amounts of albumin into the urine when The albumin/creatinine ratio is ≥3.5 mg/mmol for females and ≥2.5 mg/mmol for males. An albumin/creatinine ratio between 30 and 300 μg albumin/mg creatinine is considered microalbuminuria. The aim of the study: is to estimate the prevalence of microalbuminuria among patients with type two diabetes in Mosul city. Patients and Methods: The study is observational, descriptive, and cross- sectional. Data was collected from 109 participants retrospectively over six months to assess the prevalence of microalbuminuria among patients with type two diabetes in Mosul City. Administrative agreements were obtained from the Directorate of Health, the Local Scientific Council of the Arab Board of Health Specializations of Family and Community Medicine in Iraq, Iben Sena Teaching Hospital, Al Mosul General Hospital, and Al Wafa’a Diabetic Center where the study was conducted. The concept and aims of the study were explained to all participants, and verbal consent was obtained. The information was collected by a specifically designed questionnaire comprising four sections: Section One covered socio-demographic parameters, Section Two covered microalbuminuria details, Section Three covered microalbuminuria risk factors, and Section Four covered diabetes mellitus complications, each patient checked for height and weight to calculate body mass index then sends each one to an ophthalmology consultation, and lab investigations for Fasting blood sugar, HbA1c, serum creatinine and albumin/creatinine ratio in urine. Results: The study included 109 patients with diabetes mellitus, with microalbuminuria prevalence being 28 out of 109 (25.68%); 15 patients (53.57%) were males and 13 (46.42%) were females. Microalbuminuria was more prevalent among patients of more than 65 years or those with higher BMI and smokers and affected by the duration of diabetes, systolic and diastolic blood pressure, higher fasting blood sugar levels, HbA1c, and serum creatinine levels. Conclusions: microalbuminuria prevalence among diabetic patients is affected by many factors, such as poorly controlled diabetes, longer duration of diabetes, advancing age, obesity, hypertension, smoking and diabetic complications. No sex prevalence difference.