Diabetes Among Haemodialysis Patients in Teaching Hospital Batticaloa, Srilanka

Background, Diabetic kidney disease (DKD) is common in people with type-2 diabetes (T2DM). This is because T2DM is much more common than type-1 diabetes (T1DM). Diabetic kidney disease is actually the most common cause of kidney failure. Microalbuminuria or proteinuria is rarely present at the time when the diabetes is first diagnosed. By five years after the diagnosis of diabetes, about 1 in 7 people will have developed microalbuminuria. After 30 years, about 4 in 10 people will have developed microalbuminuria. Some people with microalbuminuria progress to proteinuria and kidney failure. Around one in five people needing dialysis have diabetic kidney disease. Methodology A Prospective, observational study of patients with end-stage kidney disease (ESRD) come for dialysis to the Teaching Hospital Batticaloa SriLanka. The study was conducted from mid of September 2017 to end of November 2017. Diabetes is the leading cause of end-stage of kidney disease (ESKD) in most developed countries and has driven growth in ESKD globally over recent decades. Results, Most common etiology in the present study was diabetic nephropathy (54.8 %) followed by hypertensive nephropathy (30.4 %) and ADPKD (2 %). However, the prevalence of ESKD has been equally observed among middle and elders populations. Current approaches are not adequate because the number of patients who develop DKD or have progressive DKD continues to increase. Screening for diabetic nephropathy with early intervention is essential to delaying its progression in conjunction with providing proper glycemic control.