Objective: Determine the prevalence of microalbuminuria, and macroalbuminuria in Ghanaian diabetics with hypertension. Examine the association between microalbuminuria, or macroalbuminuria and demographic characteristics, BMI, duration of diabetes, and hypertension, type of antihypertensive, and diabetes medication, optimal blood pressure control, HbA1c, and GFR.
Method: A cross-sectional study from June 2008 through December 2008 at Komfo Anokye Teaching hospital. The study included 2 arms the macroalbuminuric, and microalbuminuria branch. Inclusion criteria was 18 years old or older, Diabetics, hypertensive, speaks English or TWI. We recruited 822 participants, with 283 eligible for the microalbuminuria arm. Urine albumin to creatinine ratio was done.
Results: Prevalence of macroalbuminuria was 53.65%, and 68.90% for microalbuminuria. BP less than 130/90 was significantly associated with decreased prevalence of developing macroalbuminuria, and microalbuminuria.
Conclusion: We recommend increased efforts in blood pressure control in diabetics with hypertension in Ghana. Diuretics should be encouraged since it is cost effective.