Predictive Factors of Renal Insufficiency Among Patients with Diabetes and Hypertension in Northeastern Communities of Thailand

The purpose of this study was to study the predictive factors of chronic renal insufficiency in patients with diabetes, hypertension, and diabetes and hypertension in Tajong Subdistrict, Lahan Sai District, Buriram Province. This study, a retrospective case-control study, analyzed data from a 2023 database of patients with chronic diseases in Northeastern Thailand. A study of 4 3 5 community diabetes and hypertension patients analyzed predictive factors of renal insufficiency using SPSS, utilizing descriptive statistics, chi-square, and binary logistic regression analysis. The results showed that the subjects had an average glomerular filtration rate of 73.90 ml/min/1.73m2 (S.D. = 24.02), which was classified as the most abnormal filtration rate of 67.80%. CKD stage 2 (eGFR 60-89 ml/min/1.73m2) is the most. Among patients with diabetics, the predictive equation for renal insufficiency is -2.82+2.808 Age + 4.675BUN. In patients with hypertension, there is a prediction equation for the occurrence of renal insufficiency: -3.391 + 2.246Sex + 2.246Age + 2.637BUN, and in patients with hypertension and diabetics is an equation for predicting the occurrence of renal insufficiency: -4.021 + 1.554sex + 2.023Age + 3.332BUN. It is proposed that gender, age, and BUN all influence the occurrence of renal damage in patients with diabetes, hypertension, and diabetes plus hypertension. As a result, the healthcare team should have standards for assessing risk and preventing renal insufficiency in diabetic and hypertensive patients. Additional research should be conducted to examine the factors associated with kidney deterioration in patients who are unable to control their blood sugar levels.