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Microalbuminuria prevalence study in hypertensive patients with type 2 diabetes in Indonesia.
(2005-10-16) Sja'bani, Mohammad; Asdie, Ahmad H; Widayati, Kartika; Subroto, Yanri; Kariadi, Sri Hks; Arifin, Agusta Y L; Adhiarta, I G N; Permana, Hikmat; T, Askandar; Hendromartono,; Adi, Soebagijo; Wibisono, Sony; Murtiwi, Sri
AIM: To assess the prevalence of macroalbuminuria and microalbuminuria in hypertensive patients with type 2 diabetes in 10 Asian countries. METHODS: This cross-sectional clinic-based epidemiological study is a subanalysis of data collected from patients attending three medical centres in Indonesia from May 2002 to October 2002. A total of 207 patients were enrolled, of which 177 patients constituted the per protocol population (patients with bacteriuria and haematuria were excluded). RESULTS: Overall, the prevalence of diabetic kidney disease was high, with macroalbuminuria comprising 44.7% (41.2-48.1;95% confidence interval) and microalbuminuria comprising 33.0% (29.7-36.3; 95% confidence interval). While the majority (91.53%) of patients were receiving treatment for hypertension, only 6.21% of the patients had systolic/diastolic blood pressures below the 130/85 mmHg target. CONCLUSION: The prevalence of microalbuminuria and macroalbuminuria was high in hypertensive patients with type 2 diabetes in Indonesia, which is indicative of an impending pandemic of diabetic cardiovascular and renal diseases in the region.