Retino-Renal Dissociation in Type 2 Diabetes Mellitus

Medically Reviewed By : Dr. Kamal Kant Kohli

Published On 2022-06-15 03:30 GMT | Update On 2022-06-15 08:34 GMT

Diabetes induced retinopathy mostly proceeds nephropathy in patients with Type1 diabetes; however, this sequence is not consistent in patients with Type 2 diabetes and has significant discordance. An Observational Cross Sectional Study published in Journal of the Associations of Physicians of India found a relationship between retinopathy and nephropathy in type 2 diabetic patients.

It was seen that Patients with type 2 diabetes do not have diabetic nephropathy always. It was a hospital-based prospective, was conducted at Indira Gandhi Medical College, Shimla. 141 patients with type 2 diabetes, 83 males,58 females were recruited in the study.

The Mean HbA1C was study was 9.

56.0% patients in the study had HbA1C more than 9.0%

27.7% had HbA1C between 7.0- 9.0%

16.3% patients had HbA1C less than 7.0%.

Out of a total of 141 patients,

Diabetic Kidney Disease was present in 47.52% patients and 33 had diabetic retinopathy. Hence it was recorded that The relationship between retinopathy and nephropathy in type 2 diabetic patients is not as clear as in type 1 diabetic patients. Patients with type 2 diabetes do not have diabetic nephropathy always and non-diabetic renal disease is also quite common. The absence of retinopathy, rapid progression diabetes, presence of RBC, are some of the atypical findings, and patients presenting with them should be subjected to renal biopsy to rule out non-diabetic renal disease.

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Dr. Nandita Mohan

Dr. Nandita Mohan is a practicing pediatric dentist with more than 5 years of clinical work experience. Along with this, she is equally interested in keeping herself up to date about the latest developments in the field of medicine and dentistry which is the driving force for her to be in association with Medical Dialogues. She also has her name attached with many publications; both national and international. She has pursued her BDS from Rajiv Gandhi University of Health Sciences, Bangalore and later went to enter her dream specialty (MDS) in the Department of Pedodontics and Preventive Dentistry from Pt. B.D. Sharma University of Health Sciences. Through all the years of experience, her core interest in learning something new has never stopped. She can be contacted at editorial@medicaldialogues.in. Contact no. 011-43720751

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Retino-Renal Dissociation in Type 2 Diabetes Mellitus

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