Assessing Kidney Issues in Indonesian Adults with Diabetes
This article discusses the prevalence of kidney dysfunction among Indonesian adults with diabetes, highlighting the importance of early detection and risk factor management. It emphasizes that while 4% are affected, diagnosis rates are low, urging preventive strategies. Key factors include age, gender, socioeconomic status, diet, and lipid levels. The findings stress the need for targeted screening programs to reduce progression to chronic kidney disease and improve health outcomes for diabetics in Indonesia.
Sponsored
Diabetes prevalence in Indonesia is rising driven by urban growth, population increases, and lifestyle changes. Although diabetes is the primary cause of chronic kidney disease (CKD), not everyone with DM develops kidney problems.
Objectives
To determine how common kidney impairment is among Indonesian adults with diabetes and identify key risk factors based on the 2013 National Health Survey (Riskesdas).
Methodology
The study analyzed data from 15,791 women and 10,349 men aged 20–54 from both rural and urban settings, collected by the Ministry of Health’s National Institute of Health Research and Development (NIHRD).
Data from 33 provinces was collected cross-sectionally. Variables included demographics, lifestyle, body measurements, blood pressure, lipids, glucose, and creatinine levels. Kidney damage was assessed according to CKD-EPI guidelines. Multivariable analysis highlighted significant risk factors such as age, gender, socioeconomic status, diet, hypertension, and lipid abnormalities.
Findings
The rate of kidney dysfunction among diabetics was approximately 4%, with just 0.6% diagnosed officially. Factors linked to increased risk included age, gender, economic level, high sugar consumption, and low HDL cholesterol. Other influences involved salty foods, coffee intake, hypertension, and abnormal lipid levels.
Summary
In Indonesia, 4% of adults with diabetes experience kidney issues, yet detection remains low at 0.6%. Early screening is vital to prevent progression and complications. Addressing risk factors such as lifestyle, diet, and metabolic health is essential to reduce diabetic kidney disease in the population.
