Diabetic Kidney Disease in Elderly Patients

Introduction: Diabetic kidney disease represents a substantial complication, particularly prevalent among elderly individuals with type 2 diabetes. This study aims to assess the prevalence of kidney disease and elucidate associated risk factors in this in this vulnerable population.. Materials and Methods: This is a retrospective descriptive and analytical study involving 430 elderly type 2 diabetic patients followed in the Endocrinology, Diabetology, Metabolic Diseases, and Nutrition Department at Hassan II University Hospital, Fez, over an eight-year period. Patients were categorized into two groups: Group 1 (65–74 years) and Group 2 (≥75 years). Results: Our findings revealed a notable burden of diabetes-related kidney disease among elderly patients. Specifically, 46.59% exhibited isolated albuminuria, while 57.52% suffered from renal insufficiency across various stages. Key risk factors contributing to this included poor glycemic control, extended diabetes duration, hypertension, dyslipidemia, and smoking, all demonstrating significant correlations. Conclusion: The escalating prevalence of diabetic kidney disease and its associated risk factors in the elderly underscore the imperative for tailored therapeutic interventions. These findings emphasize the urgent need for specific geriatric-focused approaches to optimize management in this vulnerable population.