Prevalencia de enfermedad renal crónica no diagnosticada en pacientes con diabetes mellitus tipo 2 en atención primaria a la salud.

Background: Diabetes mellitus type 2 is a chronic-degenerative disease, which is characterized by chronic hyperglycemia, due to failure to produce insulin or failure of action of insulin. This constant microvascular damage provokes a decreased kidney function catalogued as a chronic kidney disease (CKD): the continuous presence of a kidney damage during at least three moths. Within the first 10 years of diagnosis, 5 to 10% of the patients with type 2 diabetes may develop CKD, which may result in an early nephropathy with microalbuminuria, and with macroproteinuria 15 years later. Objective: To identify the prevalence of the chronic kidney disease without diagnosis in patients with a 5-year diagnosis of diabetes mellitus type 2. Material and method: A cross-sectional, descriptive, observational, retrospective study was conducted, which included adult patients that were 50 years and older, and had 5-year diabetes mellitus type 2 diagnosis, without complications mentioned in the UMF 09 San Pedro de los Pinos, IMSS, Mexico City. Results: This study consisted of 218 patients, 53% of whom were female. It was observed that 65.5% of the population in the study was classified as having stage I and II KDOQI, and 34.41% was detected to have more advanced stages: 28.9% was in stage III, 5% in stage IV and only 0.4% in stage V. Conclusions: We found a late recognition of this type of complications of a chronic-degenerative pathology that is very frequent in our country; 34.4% of the patients were in an advanced stage for which they need a prompt treatment, this shows the importance of preemptive actions and an early diagnosis in order to be able to offer an improved quality of life to our patients. [ABSTRACT FROM AUTHOR]