• Alia Ali, Azeem Taj, Muhammad Joher Amin, Farrukh Iqbal, and Zafar Iqbal.
• Dr. Alia Ali, FCPS, Senior Registrar, Department of Medicine, Shaikh Zayed Postgraduate Medical Institute, Lahore, Pakistan.
• Pak J Med Sci. 2014 May 1; 30 (3): 511514511-4.

BackgroundHypertension is commonly found in patients with Diabetic Kidney Disease (DKD). Microalbuminuria is the first clinical sign of involvement of kidneys in patients with type 2 diabetes. Uncontrolled hypertension induces a higher risk of cardiovascular events, including death, increasing proteinuria and progression to kidney disease.ObjectivesTo determine the correlation between microalbuminuria and hypertension and their association with other risk factors in type 2 diabetic patients.MethodsOne hundred and thirteen type 2 diabetic patients attending the diabetic clinic of Shaikh Zayed Postgraduate Medical Institute, Lahore, Pakistan were screened for microalbuminuria and raised blood pressure. The study was conducted from November 2012 to June 2013.ResultsPatients were divided into two groups. Group 1, those with normoalbuminuria (n=63) and Group 2, those having microalbuminuria (n=50). Group 2 patients showed higher blood pressure values as compared to Group 1. The results were statistically significant and showed poor glycemic control as a contributing risk factor.ConclusionThe study concluded that there is high frequency of hypertension among type 2 diabetics but still much higher among those having microalbuminuria. So, early recognition of renal dysfunction through detection of microalbuminuria and to start treatment without any delay will confer future protection from end stage renal disease as well as hypertension and its complications in type 2 diabetic patients.

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