A Comparison Of Pharmacological Treatment, Knowledge And Life Style Modification Among Diabetic Patients With Microalbuminuria In Four Hospitals In India And Malaysia

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dc.contributor.authorBaig, Mirza Rafiullah
dc.date.accessioned2018-07-05T02:02:25Z
dc.date.available2018-07-05T02:02:25Z
dc.date.issued2010-12
dc.description.abstractDiabetic nephropathy is one of the major microvascular complications in diabetic patients. Epidemiologist predicts that the world population of diabetic individuals will swell up to an astounding 300 million by the year 2025 and almost half of that will be in the Asian region alone. Malaysia and India are ranked top in the list for the high prevalence of diabetes with India being termed as the “diabetes capital of the world”. Interventions have been extensively studied in different areas of diabetic complications, but still results remained unclear. Therefore a collective and comparative study is designed to resolute the pharmacological treatment, knowledge and life style among diabetic patients with microalbuminuria by early detection of the complication status to prevent or delay the progression of diabetic nephropathy. A prospective, cross sectional descriptive and a cohort study was conducted by using convenience sampling technique in four hospitals in India and Malaysia. To collect the information, a standard data collection form was developed and was divided into two parts. The first part was to gather information on socio-demographic as well as treatment module and diagnosis from the patient medical records. The second part involved questionnaires which collected the information about the patient knowledge and life style modification by interviewing the patients. Results were analyzed statistically using Statistical Package for the Social Sciences (SPSS) software version 15. A total of 3358 diabetic patients were approached for the study out of which 1025 patients were diagnosed with microalbuminuria, therefore were taken into consideration for the complete study in India and Malaysia. The mean age of the diabetic patients with nephropathy in government, private hospital in India and Malaysia, was found to be 46.32±9.36 years, 44.34±8.01 years and 57.26±11.38 years, 55.45±10.31 years respectively. The progression of nephropathy in Indian patients was found to be in early ages compared to Malaysian patients. The risk factors of diabetic neprhopathy patients found in all the four hospitals were age, gender, family history, poverty, diet, BMI, smoking, alcohol intake, exercise, medicine compliance, and race (p<0.05). The effect of race was found in the Malaysian study, which shows that within the three different races (Malay, Chinese, and Indian) Malays are more prone to microvascular complications followed by Chinese and least found to be in Indians (p=0.048). Sulphonylureas and ACE inhibitors were used most widely for the treatment of diabetes and nephropathy respectively in both the countries.en_US
dc.identifier.urihttp://hdl.handle.net/123456789/5868
dc.language.isoenen_US
dc.publisherUniversiti Sains Malaysiaen_US
dc.subjectDiabetic nephropathy is one of the major microvascularen_US
dc.subjectcomplications in diabetic patientsen_US
dc.titleA Comparison Of Pharmacological Treatment, Knowledge And Life Style Modification Among Diabetic Patients With Microalbuminuria In Four Hospitals In India And Malaysiaen_US
dc.typeThesisen_US
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