Risk factors that trigger the disease of hidden renal failure in diabetic patients

Abstract

Introduction: Renal insufficiency (RI) has emerged as a significant public health problem in Mexico. The National Institute of Statistics and Geography (INEGI) has classified it as the tenth leading cause of mortality in the country in the female population. Early detection has become essential, especially in the case of Occult Renal Disease (ORD) which significantly affects the diabetic population. RI is ranked tenth among causes of mortality in Mexico and is associated with various medical conditions. Objective: To identify the risk factors that contribute to the presence of ORD in patients with type II diabetes (DM2). Methodology: A cross-sectional, analytical and descriptive study was carried out in a sample of 352 patients, of whom 149 came from the city of Chilpancingo de los Bravo, Guerrero, and 206 from the municipality of Olinalá, in the Montaña region of the State of Guerrero. The patients who agreed to participate ratified their participation by signing the letter of informed consent. In this study, anthropometric measurements were taken, blood pressure was measured and biochemical parameters were collected. The results were recorded in an Excel 2021 spreadsheet and STATA version 16 software was used for statistical analysis. Results: Of the studied population, 3.5% (12 patients) presented with ORD, of whom 50% were diabetic. Among the risk factors identified in the diabetic population were age over 60 years (11.29%), high levels of albumin (16%), urea (42.8%), and uric acid (30.76%). Conclusion: Occult Renal Disease affects both rural and urban communities. A total of 12 patients with ORD were found, of which 25% were from the city of Chilpancingo and 75% from the rural area of Olinalá. This underscores the importance of early detection and timely monitoring, particularly in the rural population with diabetes mellitus.