2017 Volume 60 Issue 4 Pages 279-287
Approximately 200 patients with diabetes annually develop end-stage kidney disease due to progression of diabetic kidney disease in Nara, Japan. We performed a survey to assess the current status of diabetic kidney disease in Nara. We recruited 38,766 patients with diabetes (mean age, 68±13 years; male, 57 %) from August 2013 to July 2014 in 171 institutions. The mean HbA1c was 6.7 % in total, but the proportion of HbA1c ≥8.0 % was higher among young patients than among older ones. To assess the renal function, the estimated glomerular filtration rate was evaluated in 92 % of patients; however, the urinary albumin was measured only in 29 % of patients. The features of medical care in each institution might affect the measurement of urinary albumin. The prevalence of diabetic nephropathy was 35 %, and that of chronic kidney disease was 45 %. Based on these results, we are implementing new measures in Nara to improve the quality of diabetes care and prevent the development and progression of diabetic kidney disease.
