eISSN: 2345-4202  
J Nephropharmacol. 2018;7(2):90-97.

Original

Awareness of diabetic nephropathy in patients with type 2 diabetes mellitus: the Indian scenario

Chirag Bansal, Reshma Kaushik * , Rajeev Mohan Kaushik

1 Department of Medicine, Himalayan Institute of Medical Sciences, Swami Rama Himalayan University, Dehradun, Uttarakhand, India
*Corresponding author: Prof. Reshma Kaushik, MD, FIACM, FICP; Email: reshma.kaushik@rediffmail.com, Email: reshmakaushik@srhu.edu.in

Abstract

Introduction: Diabetic nephropathy is an important complication of diabetes mellitus leading to significant morbidity and mortality.

Objectives: To study the awareness of diabetic nephropathy in patients with type 2 diabetes mellitus (T2DM) and the factors influencing patient awareness of diabetic nephropathy.

Patients and Methods: Four hundred subjects, aged above 18 years with T2DM as per American Diabetes Association (ADA) criteria, were selected. Patient awareness regarding diabetic nephropathy was assessed as per a prefixed questionnaire.

Results: Awareness of basic information concerning diabetes was present in more than 60% of patients. No significant differences were seen between awareness scores of male and female (P = 0.385), rural and urban (P = 0.120) and literate and illiterate (P = 0.567) diabetic patients. Awareness scores were higher in diabetic patients exceeding 50 years of age (P = 0.004) and patients having diabetes for more than10 years (P < 0.0001), controlled diabetes (P = 0.026) and diabetic nephropathy (P < 0.0001). Awareness of diabetic nephropathy was independently associated with duration of diabetes (P = 0.010) and diabetic nephropathy (P = 0.011) but not with age (P = 0.754) and control of diabetes (P = 0.229).

Conclusion: A substantial proportion of diabetic patients are still unaware of the basic facts about diabetes and diabetic nephropathy. Awareness of diabetic nephropathy depended upon duration of diabetes and presence of diabetic nephropathy and requires promotion during early stages of diabetes to improve control of diabetes and prevent diabetic nephropathy.

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

In a study on 400 diabetic patients, we found awareness of diabetic nephropathy was marginally higher in patients staying in urban areas and in literate patients. Better awareness of diabetic nephropathy was seen in older patients and patients with diabetes for a long duration, controlled diabetes and diabetic nephropathy but only duration of diabetes and diabetic nephropathy had an independent association with awareness of diabetic nephropathy.

Please cite this paper as: Bansal C, Kaushik R, Kaushik RM. Awareness of diabetic nephropathy in patients with type 2 diabetes mellitus: the Indian scenario. J Nephropharmacol. 2018;7(2):90-97.

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Submitted: 07 Jan 2018

Accepted: 04 May 2018
First published online: 20 May 2018
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