Research Article

Comparison of Effects of ACEIs and ARBs on Albuminuria and Hyperkalemia in Indonesian Hypertensive Type 2 Diabetes Mellitus Patients

Table 1

Anthropometric, sociodemographic, lifestyle, clinical, and pharmacological therapy characteristics of T2DM patients on ACEIs or ARBs.

CharacteristicsACEIsARBs value
N = 57 (42.5)N = 77 (57.5)

Sex0.518a
Male30 (52.6)35 (45.5)
Female27 (47.4)42 (54.5)
Age (years)58.07 ± 8.0959.04 ± 8.250.499c
Categorical0.835b
31–40 years2 (3.5)1 (1.3)
41–50 years6 (10.5)8 (10.4)
51–60 years29 (50.9)38 (49.4)
≥60 years20 (35.1)30 (39.0)
BMI (kg/m2)26.85 ± 4.1127.06 ± 4.460.782c
Categorical0.008b
Underweight1 (1.8)− (0.0)
Normal9 (15.8)19 (24.7)
Overweight13 (22.8)4 (5.2)
Obesity I18 (31.6)38 (49.4)
Obesity II16 (28.1)16 (20.8)
Occupation1.000a
Employed14 (24.6)20 (26.0)
Unemployed43 (75.4)57 (74.0)
Education0.422b
Uneducated—(0.0)2 (2.6)
Elementary school graduates5 (8.8)5 (6.5)
Junior high school graduates10 (17.5)7 (9.1)
Senior high school graduates21 (36.8)33 (42.9)
College graduate21 (36.8)30 (39.0)
Smoking habit0.399b
Smokers6 (10.5)6 (7.8)
Nonsmokers48 (84.2)62 (80.5)
Ex-smokers3 (5.3)9 (11.7)
Duration of type 2 diabetes (years)10 (1–30)10 (2–46)0.554d
Categorical0.296b
≤5 years13 (22.8)11 (14.3)
>5 years44 (77.2)66 (85.7)
Systolic blood pressure (mmHg) (n−102)133 (90–193)137 (97–205)0.309d
Categorical0.141a
≤140 mmHg29 (67.4)30 (50.8)
>140 mmHg14 (32.6)29 (49.2)
Diastolic blood pressure (mmHg) (n=102)79 (54–105)79 (45–96)0.690d
Categorical0.505a
≤90 mmHg35 (81.4)52 (88.1)
>90 mmHg8 (18.6)7 (11.9)
HbA1c (%)7.3 (5.5–11.7)7.5 (5.1–13.3)0.466
Categorical0.485a
≤7.0%25 (43.9)28 (36.4)
>7.0%32 (56.1)49 (63.6)
LDL cholesterol (mg/dL)115 (58–190)121 (47–264)0.366d
Categorical0.926a
<100 mg/dL15 (26.3)22 (28.6)
≥100 mg/dL42 (73.7)55 (71.4)
ACR (mg/g)47.6 (3.20–4060.5)50.80 (3.8–5504.6)0.345d
Categorical0.970a
≤30 mg/g24 (42.1)31 (40.3)
>30 mg/g33 (57.9)46 (59.7)
eGFR (mL/min/1.73 m2)71.41 ± 19.9364.08 ± 20.500.040c
Categorical0.051a
≥60 mL/min/1.73 m240 (70.2)40 (51.9)
30–59 mL/min/1.73 m217 (29.8)37 (48.1)
Serum potassium (mmol/L)4.9 (3.62–6.50)4.9 (2.97–9.30)0.780d
Categorical0.860a
<5.5 mmol/L46 (80.7)60 (77.9)
≥5.5 mmol/L11 (19.3)17 (22.1)
Diabetes therapy0.569b
Oral antidiabetic agents22 (38.6)26 (33.8)
Insulin15 (26.3)17 (22.1)
Combination therapy20 (35.1)34 (44.2)
Oral antidiabetic agents (n=102)0.616b
Biguanides17 (29.8)24 (31.2)
Sulfonylurea2 (3.5)7 (9.1)
Α-glucosidase inhibitors0 (0.0)1 (1.3)
Combination23 (40.4)28 (36.4)
Hypertension therapy0.110b
ACEIs/ARBs monotherapy12 (21.1)16 (20.8)
ACEIs/ARBs + 1 non-RAS inhibitors30 (52.6)33 (42.9)
ACEIs/ARBs + 2 non-RAS inhibitors8 (14.0)21 (27.3)
ACEIs/ARBs + 3 non-RAS inhibitors4 (7.0)7 (9.1)
ACEIs/ARBs + 4 non-RAS inhibitors3 (5.3)− (0.0)
ACEIs/ARBs usage duration (months)6 (2–54)16 (2–61)
Categorical
≤3 months23 (40.4)5 (6.5)
3–6 months9 (15.8)9 (11.7)
>6 months25 (43.8)63 (81.8)

ACEIs, angiotensin converting enzyme inhibitors; ARBs, angiotensin II receptor blockers, ACR, albumin to creatinine ratio; eGFR, estimated glomerular filtration rate (CKD-EPI equation). aContinuity correction; bPearson chi-square; cindependent t-test; dMann–Whitney test; denominator for each characteristic is number in respective groups; categorical data presented as n (%), continuous data presented in mean ± SD or median (min-max); statistically significant.