Abstract
Background: Diabetic kidney disease is a common chronic complication of type 2 diabetes mellitus and is particularly likely to be overlooked at an early stage in outpatient settings, leading to delayed detection and intervention.
Objectives: To determine the prevalence, characteristics, and to analyze factors associated with diabetic kidney disease among outpatients with type 2 diabetes mellitus.
Material and methods: A cross-sectional descriptive study was conducted on 381 outpatients with type 2 diabetes mellitus at Phu Vang Medical Center from July 2024 to February 2025. Diabetic kidney disease was classified according to the KDIGO 2022 criteria. Multivariable logistic regression analysis was performed to identify factors associated with diabetic kidney disease.
Results: The prevalence of diabetic kidney disease was 24.4%, with stages 1–2 accounting for 79.6% of cases. Statistically significant associated factors included overweight, obesity, longer duration of diabetes, presence of comorbid chronic diseases, non-use of angiotensin-converting enzyme inhibitors/angiotensin receptor blockers, poor adherence to physical activity and medication, as well as failure to achieve target HbA1c and blood pressure levels (p < 0.05).
Conclusions: Diabetic kidney disease is prevalent among outpatients with type 2 diabetes mellitus and is closely associated with metabolic factors, comorbid conditions, and treatment adherence. Strengthening regular screening and implementing multifactorial control strategies are essential for early detection and slowing disease progression.
| Published | 2026-09-28 | |
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| Issue | Vol. 16 No. 5 (2026) | |
| Section | Original Articles | |
| DOI | 10.34071/jmp.2026.5.914 | |
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International Diabetes Federation. IDF Diabetes Atlas, 11th edition. 2025.
Zhou B, Lu Y, Hajifathalian K, Bentham J, Di Cesare M, Danaei G, et al. Worldwide trends in diabetes since 1980: a pooled analysis of 751 population-based studies with 4,4 million participants. The Lancet. 2016;387(10027):pp. 1513-30.
Trịnh Quốc Khởi, Dương Phúc Lam, Phạm Thị Nhã Trúc. Tỷ lệ đái tháo đường týp 2 có biến chứng thận và thực trạng phòng, chống biến chứng thận ở bệnh nhân đái tháo đường týp 2 tại Bệnh Viện Đa khoa Cái Nước năm 2022-2023. Tạp chí Y học Việt Nam. 2023;531(1B):tr. 290-4.
Kê Thị Lan Anh, Phạm Thị Lương. Nghiên cứu đặc điểm lâm sàng, cận lâm sàng và đánh giá biến chứng thận ở bệnh nhân đái tháo đường type 2 tại Khoa Nội 3, Bệnh viện Hữu nghị Việt Tiệp - Hải Phòng. Tạp chí Y học Việt Nam. 2021(503):tr. 386-94.
Neuen BL, Chadban SJ, Demaio AR, Johnson DW, Perkovic V. Chronic kidney disease and the global NCDs agenda. BMJ Glob Health. 2017;2(2):pp. e000380.
American Diabetes Association. Standards of Care in Diabetes—2024. Diabetes Care. 2024;47(Supplement_1):pp. S21.
Bộ Y tế. Quyết định số 5481/QĐ-BYT ngày 30 tháng 12 năm 2020 về việc ban hành tài liệu chuyên môn “Hướng dẫn chẩn đoán và điều trị đái tháo đường típ 2”. 2020.
Kidney Disease: Improving Global Outcomes (KDIGO). KDIGO 2022 Clinical Practice Guideline for Diabetes Management in Chronic Kidney Disease2022.
Wan KS, Hairi NN, Mustapha F, Mohd Yusoff MF, Mat Rifin H, Ismail M, et al. Prevalence of diabetic kidney disease and the associated factors among patients with type 2 diabetes in a multi-ethnic Asian country. Scientific Reports. 2024;14(1):7074.
Cao Đức Hoàng Anh, Bùi Thị Thu Hương, Nguyễn Thị Kim Cúc. Nghiên cứu ảnh hưởng của một số yếu tố tới tình trạng biến chứng thận của bệnh nhân đái tháo đường đang điều trị ngoại trú tại Trung tâm Y tế huyện Đồng Hỷ, thành phố Thái Nguyên. Tạp chí Y Dược học - Trường Đại học Y Dược Huế. 2019;5(9):55-60.
Adem M, Mekonen W, Ausman A, Ahmed M, Yimer A. Prevalence of chronic kidney disease and its associated factors among diabetes mellitus patients in Dessie Referral Hospital, South Wollo, Ethiopia. Scientific Reports. 2024;14(1):9229.
Islam SM, Salehin M, Zaman SB, Tansi T, Gupta RD, Barua L, et al. Factors Associated with Chronic Kidney Disease in Patients with Type 2 Diabetes in Bangladesh. International Journal of Environmental Research and Public Health. 2021; 18(23).
Seck S, Doupa D, Ahou S, Gueye S, Macia E, Gueye L. Prevalence and Associated Factors of Diabetic Kidney Disease in Senegalese Patients: A Cross-Sectional Study in Saint-Louis. Open Journal of Nephrology. 2020;10:23-33.
United Kingdom Prospective Diabetes Study (UKPDS). Conclusions from the UKPDS that continue to shape clinical practice. Diabetes & Primary Care. 2017;19(2):pp. 61-2.