CORELATION BETWEEN NUTRITIONAL STATUS AND DEGREES OF PROTEINURIA IN DIABETIC TYPE 2 PATIENT WITH DIABETIC NEPRHOPATHY COMPLICATION IN RSUP SANGLAH
By : I Gusti Ayu Mardewi
Faculties : Fakultas Kedokteran
Department : PS. PENDIDIKAN DOKTER
There were 2,1% of Indonesian population with diabetic in 2013. Diabetic nephropathy is the most severe complication with high mortality and morbidity. In diabetic type 2 patient, microalbuminuria was irreversible and 20-40% of the patients will have proteinuria. Proteinuria related to body mass index (BMI). Higher the BMI the more severe the degree of proteinuria in patient with type 2 diabetic. The study conducted to evaluate the nutritional status of the patients and its relation with degree of proteinuria in type 2 diabetic patient with diabetic nephropathy complication. The study was analytic cross sectional study. Subjects were selected using consecutive sampling. Forty eight samples were match inclusion criteria, according to subjective global assessment (SGA) 31 of them listed as good nutrition (A), 11 of them suspect malnutrition (B), and 6 of them malnutrition. According to BMI, 3 patients underweight, 30 patients normal, 13 patients overweight, and 2 patients obese I. The distribution of proteinuria degrees were 2 patients negative, 10 patients +1, 12 patients +2, 13 patients +3 and 11 patients +4. The result from chi-square analysis was found, there were no significant association between nutritional statuses according BMI with proteinuria degrees (p=1.00). Also there were no significant association between nutritional status according SGA with proteinuria (p=0.46). The result was caused by some factors such as samples number, factors that affecting proteinuria, and patientís complication.
Keyword : Diabetic nephropathy, nutritional status, proteinuria degrees.