Annals of African Medicine
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Year : 2009  |  Volume : 8  |  Issue : 1  |  Page : 52-54

Chronic kidney disease screening and renoprotection in type 2 diabetes


1 Renal Unit, Department of Medicine, Jos University Teaching Hospital, Jos, Nigeria
2 Endocrinology Unit, Department of Medicine, Jos University Teaching Hospital, Jos, Nigeria
3 AIDS Preventive Initiative, Nigeria Center, Jos University Teaching Hospital, Jos, Nigeria

Correspondence Address:
E I Agaba
Department of Medicine, Jos University Teaching Hospital, P.M.B. 2076, Jos
Nigeria
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1596-3519.55765

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Background : Type 2 diabetes (T2D) is a major cause of chronic kidney disease. Control of hypertension and the use of angiotensin converting enzyme inhibitors (ACEI) and/or angiotensin II receptor blockers especially in those with proteinuria have been shown to protect against chronic kidney disease and delay its progression to kidney failure. Methods : We reviewed the medical records of 169 patients at 12 months with a view of auditing the screening for chronic kidney disease and the use of renoprotective measures. Results : Urinalysis was done in 49.1% and serum creatinine in 50.3%. No patient had glomerular filtration rate estimated. Seventy nine (67.6%) of the hypertensive patients were on anti-hypertensives. ACEI was used in 49 (45.8%) of these patients BP control was optimal in 29.1%. Conclusion : There is poor adherence to guidelines on chronic kidney disease screening and renoprotection in T2D.


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