DIABETIC PATIENTS;

CLINICAL PROFILE WITH ENDSTAGE RENAL DISEASE ON HAEMODIALYSIS

Abstract

Objective: To study the clinical profile of diabetic patients on haemodialysis
with a view to identify common clinical features and the trend of compliance with treatment and
follow up. Place and Duration of study: Haemodialysis unit Fatima Memorial Hospital, Lahore,
from January to August 2011. Method: Data collected from all patients above 14 years of age
through medical history, record, examination and fundoscopy. Results: Out of total 76 patients
on haemodialysis 50(65.7%) had DM and of these 42(84%) also had hypertension. Among
diabetics 28 (56%) were male & 22 (44%) female. Mean age was 56.68 ± 9.09. Among these
15(30%) were illiterate and 27 (54%) belonged to lower social class. Ever smokers were 18(36%).
Mean duration of diabetes since diagnosis was 10.9 ± 5.99. Mean duration of hypertension
8.28 ± 8.07, Duration of onset of dialysis 6 months to 8 years with mean 2.16±1.47. Retinopathy
was found in 29(58%), 18(36%) had diabetic &11(22%) had hypertensive changes. Both fasting
and random blood sugar levels were monitored by 28 (56%). None had regular follow up with
HbA1c levels or urine for protienuria prior to onset of haemodialysis. Compliance with dietary
advice & treatment claimed by 24(48%) and 36(72%) respectively. History of intake of Hakeem
and homeopathic medications was found in 16(32%) and 10(20%) respectively. Conclusions:
65.7% of ESRD were diabetics. Majority were in 6th decade of life. Retinopathy was present in
58%. Low trend was observed towards compliance with treatment &follow up.