Estimation of HbA1c and Microalbuminuria among Type 2 Diabetic Mellitus Sudanese Patients

Diabetes mellitus is the commonest metabolic disorder and has a high prevalence in Sudan. Diabetic nephropathy is characterized by proteinuria and is the leading cause of end stage renal disease. Microalbuminuria testing is sensitive test for diabetic nephropathy. The present study aimed to estimate of HbA1c and micro albumin among type 2 diabetic mellitus in Sudanese patients and to correlate with duration of disease and age. This study was a cross sectional study conducted at Gaber Abu Elezz Diabetes Center-Khartoum state- Sudan, during March and November 2015, A total of (75) patients diagnosed with type 2 diabetic mellitus were enrolled in this study, Patients with systemic diseases like cardiovascular diseases, cerebrovascular diseases and urinary tract infection or kidney disease were excluded from the study. The blood sample collected in EDTA containers to estimate HbA1c levels which was measured by using (i- CHROMA), random urine specimens were collected to estimating microalbumin level of all the individuals under study. The study revealed that microalbuminuria, HbA1c levels were significantly increased in comparison with the reference range, p. value (0.009, 0.000), respectively, as well positive correlation between microalbuminuria and HbA1c and duration of disease, r. values was (0.603, 0.436) and p. values was (0.000, 0.000), respectively. The study revealed a clear relationship significant elevations of HbA1c and urinary micro albumin levels which suggest that the monitoring of micro albuminuria levels at the early stages of type 2 diabetic mellitus Sudanese patients. Keywords: Microalbumoinuria, HbA1c, Diabetes, Sudan, Neelain