Association between Diabetic Retinopathy and (Albumin/Creatinine) Ratio in Diabetic Patients

Introduction:Diabetes mellitus is a quickly upward illnesses in our world and it develop a chief community health problem. Diabetes is a sources of multiple long-term complications that have significant effect on the patients and society, the illness mostly touches peoples in their most creativeages diabetes has multiple systematic complications with macro-vascular and micro-vascular problems. Micro-vascular illness such as retinopathy, neuropathy, nephropathy and cardiovascular illnesses are a common problems of diabetes and it have a significant interrupting on the community & public health. Method: Across sectional study involved 75 patients with diabetes M. done in Al-Emamain Al-Kadhumain medical city from period September 2018 to July 2019, we organized questionnaire involved age of patients, gender, type of DM and duration of illness. Also all patents send for lab. To investigate HbA1c and albumin/creatinine ratio. Examination of fundus done after application of mydriatic eye drops (tropic amid) and used slit limp bio microscope and 90 D lens. Results: 75 patients included in our study, age of patients 51.4±13.7 years old, duration of Diabetes M. 7.1±4.2 years, 47 (63%) male included in our study and 28 (37%) female, also 12 (16%) of patients type 1 DM and 63 (84%) type 2 DM, there is significant association (P-value <0.05)between degree of retinopathy and (albumin/creatinine) ratio; 29% of patents with microalbuminuria and 16% of patients with macro albuminuria, 9% of patients with ADED have macro albuminuria, 5% of patients with PDR have macro albuminuria, while 16%of patients with NPDR have microalbuminuria, 8% of patients with PDR have microalbuminuria.

Conclusion:Albuminuria/creatinine ratio is linked with theretinopathy in patients who have diabetic. So micro and macro albumin urea may be marker of proliferative retinopathy development so need close follow up.