Ifeoma I Ulasi Renal Unit Dept of Medicine College of Medicine University of Nigeria Enugu Nigeria
Source of Support: None, Conflict of Interest: None
Diabetic Nephropathy is a frequent cause of end-stage renal disease (ESRD) all over the world. The aim of this study is to determine the prevalence of diabetic nephropathy in the treated population of patients with end-stage renal disease.
Two hundred and five patients (124 male, 81 female) with ESRD seen at the Renal Unit of University of Nigeria Teaching Hospital, Enugu over a five-year period (Jan 1993 -Dec 1997) were reviewed. Thirty-four patients (24 males, 10 females) had diabetic nephropathy i.e prevalence of 16.59%. Diabetic nephropathy was the third most common cause of ESRD, while ESRD of unknown etiology and glomerulonephritis were first and second with prevalence rates of 28.78% and 21.46% respectively. The male to female ratio was 2.4:1 and the age range of patients was 30 - 84 years with a mean of 56.24+11.65. The mean duration of diabetes mellitus was 12.88+5.37 (range 4 - 30 years). Twenty seven patients (79.41%) had non insulin dependent diabetes while 7 (20.59%) were insulin dependent diabetics. The prevalence of hypertension in these patients with diabetic nephropathy was 82.35%. The mean number of haemodialysis sessions was 4.9 sessions.
It is concluded therefore that diabetic nephropathy is a common cause of end stage renal disease in Nigeria.