TY - JOUR
T1 - Low prevalence of retinopathy, but high prevalence of nephropathy among Maori with newly diagnosed diabetes : Te Wai o Rona : Diabetes Prevention Strategy
AU - Lim, Sarina
AU - Chellumuthi, Chandrasakaran
AU - Crook, Nic
AU - Rush, Elaine
AU - Simmons, David
PY - 2008
Y1 - 2008
N2 - Aims/hypothesis: To describe the prevalence of retinopathy and microalbuminuria at diagnosis of diabetes in a predominantly Maori study population. Methods: Biomedical assessment including photographic retinal examination was undertaken among 157 (68.9% of eligible) members of Maori families (3.3% non-Maori) diagnosed with diabetes during a community screening programme (n = 5240) as part of a diabetes prevention strategy. Results: Mean HbA1c of those with newly diagnosed diabetes was 7.8 ñ 1.5% with 34.4% having an HbA1c ≥8.0%. Retinopathy was present in 3 (1.7%) subjects, cataracts in 3.2%, microalbuminuria in 29.6% and albuminuria in 7.7%. After adjusting for covariates, only smoking was a risk factor for microalbuminuria/proteinuria (current and former smokers: increased 3.81(1.32-11.0) and 3.67(1.30-10.4) fold, respectively). Conclusions: The prevalence of retinopathy at diagnosis was lower than in previous studies, yet that of microalbuminuria/proteinuria remained high. The retinopathy data suggest that case detection for diabetes in the community may be improving, but that other strategies among those at risk of diabetes, including those promoting smoking cessation, will be needed to reduce the risk of renal disease among Maori with diabetes.
AB - Aims/hypothesis: To describe the prevalence of retinopathy and microalbuminuria at diagnosis of diabetes in a predominantly Maori study population. Methods: Biomedical assessment including photographic retinal examination was undertaken among 157 (68.9% of eligible) members of Maori families (3.3% non-Maori) diagnosed with diabetes during a community screening programme (n = 5240) as part of a diabetes prevention strategy. Results: Mean HbA1c of those with newly diagnosed diabetes was 7.8 ñ 1.5% with 34.4% having an HbA1c ≥8.0%. Retinopathy was present in 3 (1.7%) subjects, cataracts in 3.2%, microalbuminuria in 29.6% and albuminuria in 7.7%. After adjusting for covariates, only smoking was a risk factor for microalbuminuria/proteinuria (current and former smokers: increased 3.81(1.32-11.0) and 3.67(1.30-10.4) fold, respectively). Conclusions: The prevalence of retinopathy at diagnosis was lower than in previous studies, yet that of microalbuminuria/proteinuria remained high. The retinopathy data suggest that case detection for diabetes in the community may be improving, but that other strategies among those at risk of diabetes, including those promoting smoking cessation, will be needed to reduce the risk of renal disease among Maori with diabetes.
KW - Kidneys
KW - Maori (New Zealand people)
KW - albuminuria
KW - diseases
KW - non-insulin-dependent diabetes
UR - http://handle.uws.edu.au:8081/1959.7/uws:31067
U2 - 10.1016/j.diabres.2007.12.018
DO - 10.1016/j.diabres.2007.12.018
M3 - Article
VL - 80
SP - 271
EP - 274
JO - Diabetes Research and Clinical Practice
JF - Diabetes Research and Clinical Practice
IS - 2
ER -