J Med Assoc Thai 2007; 90 (4):684

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Retinopathy and Macro-albuminuria in Type 2 Diabetic Patients
Phoksunthorn T Mail, Thatsnarong D

Objective: To identify the correlation between the development of retinopathy and macro-albuminuria and the other risk factors for the retinopathy in type 2 diabetic patients.
Material and Method: This is a cross-sectional study. The authors studied 201 patients suffering from diabetes type 2. Fundoscopy was performed by ophthalmologists. Macro-albuminuria was assessed by urine strip (URICAN). Duration of diabetes, hypertension, and history of peripheral neuropathy were also evaluated.
Results: The over all prevalence of retinopathy was 26.4% (53 patients). The diabetic retinopathy had significant correlation with the history of peripheral neuropathy (p = 0.01). There was no significant correlation between high blood pressure and retinopathy (p = 0.32). The prevalence of macro-albuminuria was 14.43% (30 patients). Diabetic retinopathy and macro-albuminuria were strongly correlated (p<0.001).
Conclusion: Macro-albuminuria is associated with diabetic retinopathy in type 2 diabetic patients and is a reliable marker for the retinopathy.

Keywords: Retinopathy, Macroalbuminuria, Type 2 diabetic patients

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