EVALUATION OF ASSOCIATION OF DIABETIC RETINOPATHY AND NEPHROPATHY IN TERMS OF DURATION AT FENI DIABETES HOSPITAL, BANGLADESH

Dr. Md. Zahirul Islam*, Dr. Md. Alauddin and Dr. Mohammad Moazzem Hossain

ABSTRACT

Background: In diabetic patients’ complication like diabetic nephropathy and retinopathy are commonly seen at outpatient department. Objective: In this study our main goal is to evaluate the association between diabetic retinopathy and nephropathy in terms of duration at Fein, Bangladesh. Method: This cross sectional study was carried out at Feni diabetes hospital from 2020 to 202021 where 100 type-2 diabetic patients who attended in Ophthalmology department. Diabetic retinopathy was diagnosed by retinal examination by fundoscopy and nephropathy was diagnosed by serum creatinine test in laboratory. Results: A total of 100 patients were evaluated. Among them male to female ratio 60:40. Majority were between 47 to 57 years age group that was 44.8 %. In addition, according to clinical status mean BMI was found 27.0±3.0 kg/m2, FBS was 7.9±2.8 mmol/l, 2hoursABF was 12.7±4.8 mmol/l, HbA1c was 7.1±1.8 %. Moreover, 80% patients had diabetic nephropathy where in diabetic retinopathy case was 100. Among diabetic retinopathy, majority were varieties (mild/moderate/severe) form of NPDR( non proliferative diabetic retinopathy). This association was occurred in duration of 15 to 20 yrs of uncontrolled diabetes malitus patients. Conclusion: Diabetic nephropathy has a significant association with Diabetic retinopathy in terms of a duration of 15 to 20 years of uncontrolled Type II Diabetes Malitus in Bangladesh.

Keywords: Type-2 diabetes, Diabetic nephropathy, Diabetic retinopathy.