Safina Z Msangi1* and Dickson P Wande2
1Department of Radiology, Amana Regional Referral Hospital, Tanzania
2Department of Pharmacy, Muhimbili University of Health and Allied Sciences, Tanzania
Introduction: Diabetic kidney disease is a common and morbid complication of diabetes mellitus patients and the leading cause of chronic kidney disease worldwide. It is probably the third most common cause of chronic kidney disease in Africa after hypertension and glomerulonephritis. Little has been researched on renal sonographic changes in these patients to predict chronic kidney disease in African settings. This work aimed to determine the prevalence of diabetic nephropathy in adults with diabetes and assess morphometrical changes of the kidneys using ultrasonography. We also aimed to determine the influence of age, sex, duration and type of diabetes and changes in biochemical parameters on kidneys disease in patients with diabetes. Results: The prevalence of diabetic nephropathy was found to be 26.6%. There was no association between age or sex (p>0.05) and diabetic nephropathy. There was a significant association between the disease duration and type of diabetes mellitus on diabetic nephropathy (p>0.005). The study revealed a statistically significant association between biochemical parameters (proteinuria, serum creatinine and creatinine clearance levels) and changes in renal parenchymal echogenicity (p<0.05); for both right and left kidneys. Conclusion: Renal parenchymal echogenicity on ultrasound was a good indicator of renal changes that may progress into DKD in a patient with diabetes.
Ultrasonography; Diabetes Mellitus; Renal parenchyma echogenicity; Diabetic kidney disease
Msangi SZ, Wande DP. Sonographic Assessment of Renal Changes in Adults with Diabetes Mellitus at Amana Regional Referral Hospital, Dar es Salaam, Tanzania. Int J Fam Med Prim Care. 2022; 3(1): 1055..