Relevant Factors to Microalbuminuria of Type 2 Diabetic Patient in Beijing Communities

Objective To analyze the influencing factors to urinary microalbuminuria of patients with type 2 diabetes mellitus so as to investigate the key to manage diabetic patients and control diabetic nephropathy in community.Methods A total of 367 patients with type 2 diabetes mellitus who participated in the program of building the joint mode of diabetes management between the III-Leveled Grade A hospitals and multi-center communities were enrolled.Physical examinations included height,body mass index (BMI),waist circumstances and hip circumstances,and biochemical examinations included blood glucose,lipid/s,hepatic and renal functions,glycosylated hemoglobin (HbA1c) and urinary albumin excretion rate (UAER).All the patients were divided into 3 groups:no-nephropathy (UAER20 μg/min,n=290),early nephropathy (200UAER20μg/min,n=67) and clinical nephropathy (UAER200 μg/min,n=10).Results Among the three groups no statistic difference was found in age,course of diabetes and diastolic blood pressure (P0.05),but the differences in BMI and systolic blood pressure were of statistic significance (P0.05).Thee was no significant difference in blood urea nitrogen (P0.05),but there were significant differences in HbA1c,serum creatinine and urine acid (P0.05).Conclusion The development of diabetic nephropathy is closely related to systolic blood pressure,BMI and blood glucose,which shows the significance of lowing blood pressure,BMI and blood glucose in the prevention and treatment of diabetic nephropathy.